NPI | 1740879873 |
---|---|
Doing Business As | MFHC BASALT MIDDLE SBHC |
Entity Type | Organization |
Authorized Contact | ROSS BROOKS CEO 970-928-1609 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-01-13 |
Last Update Date | 2021-01-13 |