NPI | 1619415460 |
---|---|
Doing Business As | EUDORA ELEMENTARY CLINIC |
Entity Type | Organization |
Authorized Contact | GARY ALLAN NICHOLS CEO 870-942-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2025-05-15 |