| NPI | 1659567956 |
|---|---|
| Doing Business As | FAMILY HEALTH CENTER - CITY OF PORTAGE |
| Entity Type | Organization |
| Authorized Contact | DENISE R CRAWFORD President And CEO 269-349-4257 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2010-11-09 |