NPI | 1659358687 |
---|---|
Doing Business As | FAMILY HEALTHCARE |
Entity Type | Organization |
Authorized Contact | LORI B WRIGHT Chief Executive Officer 435-879-5101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: UT 4921739-0140) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 308134-1204) |
207Q00000X Family Medicine (Licence: UT 5333623-1204) | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: UT 4921739 0140) | |
Enumeration Date | 2005-12-30 |
Last Update Date | 2022-08-31 |