NPI | 1629173869 |
---|---|
Doing Business As | PHSC S D HILL CLINIC |
Entity Type | Organization |
Authorized Contact | CATHERINE M. TONORE CEO 318-388-0948 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2021-04-15 |