NPI | 1699446195 |
---|---|
Doing Business As | ONE HEALTH-SHERIDAN |
Entity Type | Organization |
Authorized Contact | DAVID ANDREW MARK CEO 406-665-4103 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2021-09-23 |
Last Update Date | 2023-10-11 |