| NPI | 1629055900 |
|---|---|
| Doing Business As | COUNTRY DOCTOR COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGIE TREPTOW Interim Director Of Finance 206-299-1937 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC1500X Clinic/Center, Community Health (Licence: WA 601583685) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2024-05-20 |