NPI | 1730965971 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY L HYDASH President & CEO 559-737-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-09-05 |
Last Update Date | 2023-09-05 |