NPI | 1689778813 |
---|---|
Doing Business As | NORTHCOUNTRY CLINIC |
Entity Type | Organization |
Authorized Contact | VICTOR A STARR President/ CEO 707-826-8633 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
Enumeration Date | 2006-09-08 |
Last Update Date | 2023-06-07 |