| NPI | 1700816683 |
|---|---|
| Doing Business As | ECHO WOODSON JOHN STREET HEALTH CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SANDEE E STRADER-MCMILLEN Chief Executive Officer 812-421-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IN 261QF0400X) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-03-18 |