NPI | 1669844130 |
---|---|
Doing Business As | FOX COMPREHENSIVE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TERESA L PORTER Credentialing Manager 636-466-6452 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2023-08-17 |