NPI | 1659631695 |
---|---|
Doing Business As | GRACEMED GOOD SAMARITAN CLINIC |
Entity Type | Organization |
Authorized Contact | JULIE ELDER CEO 316-866-2066 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-05-24 |
Last Update Date | 2025-09-08 |