NPI | 1700211703 |
---|---|
Doing Business As | VERMONT COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | THOMAS TWEH CEO 323-776-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2013-09-09 |
Last Update Date | 2021-03-22 |