NPI | 1649823501 |
---|---|
Doing Business As | MIDTOWN HEALTH CENTER--WESTSIDE ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | MELODEE J DRENKOW Systems Auditor/Credentialing 402-370-1064 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2020-07-09 |