| NPI | 1679304091 |
|---|---|
| Doing Business As | MOUNTAIN FAMILY HEALTH CENTERS EDWARDS CMC DENTAL SITE |
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL LEAZER Chief Financial Officer 970-928-1682 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |