NPI | 1639546187 |
---|---|
Doing Business As | INGLEWOOD CLINIC |
Entity Type | Organization |
Authorized Contact | BRIAN HAILE CEO 615-227-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2019-01-10 |