| NPI | 1679179097 |
|---|---|
| Doing Business As | OLD WEST END COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JANIS SUNDERHAUS CEO 419-221-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-02-02 |