NPI | 1760191811 |
---|---|
Doing Business As | MODESTO HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LESLIE ABASTA-CUMMINGS CEO 209-850-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-11-17 |
Last Update Date | 2022-11-17 |