NPI | 1639540883 |
---|---|
Doing Business As | LAWTON COMMUNITY HEALTH CENTER AT JIM TALIAFERRO |
Entity Type | Organization |
Authorized Contact | SEAN MCAVOY Director 580-355-5242 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-19 |