NPI | 1619562378 |
---|---|
Doing Business As | COMMUNITY MEDICAL CENTERS, ST MARY'S DINING ROOM |
Entity Type | Organization |
Authorized Contact | CHRISTINE NOGUERA CEO 209-373-2831 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-03-04 |
Last Update Date | 2021-03-04 |