| NPI | 1760802912 |
|---|---|
| Doing Business As | NILES COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH GAVAN Executive Director 269-445-3874 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2024-11-19 |