NPI | 1598000960 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE M CUMMINGS Health Center Director 541-484-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2012-12-11 |
Last Update Date | 2024-11-25 |