| NPI | 1679086888 |
|---|---|
| Doing Business As | 10TH STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | MISTY NASH Director 765-983-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2020-09-04 |