| NPI | 1619522430 |
|---|---|
| Doing Business As | LAKE COUNTY INTERMEDIATE SBHC |
| Doing Business As | ELEVATED COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOSH COGDILL CEO 970-668-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2024-12-30 |