| NPI | 1760299424 |
|---|---|
| Other Name | IRON BRIDGE - MEDICAL |
| Entity Type | Organization |
| Authorized Contact | NATHAN HALVORSON Chief Compliance Officer 509-444-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |