| NPI | 1720151525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HANSEN Health Director 980-484-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC1500X Clinic/Center Community Health | |
| 261QD0000X Clinic/Center Dental | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR1300X Clinic/Center Rural Health | |
| 291U00000X Clinical Medical Laboratory | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2025-03-31 |