NPI | 1619001849 |
---|---|
Doing Business As | PINE HILL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM BECKER Chief Health Administrator 505-775-3271 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
3416L0300X Ambulance, Land Transport | |
Enumeration Date | 2007-03-16 |
Last Update Date | 2017-09-27 |