| NPI | 1699025973 |
|---|---|
| Doing Business As | GSP HEALTH MEDFORD |
| Entity Type | Organization |
| Authorized Contact | TIM STARKEY CEO 580-596-2800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2020-09-22 |