NPI | 1669802849 |
---|---|
Doing Business As | JACKMAN COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LORI L. DWYER President & CEO 207-992-9200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2018-08-06 |