NPI | 1710160098 |
---|---|
Doing Business As | COMMUNITY CLINIC ROGERS MEDICAL |
Entity Type | Organization |
Authorized Contact | JAMES SEMINGSON CEO 479-751-7417 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2020-01-15 |