NPI | 1760952741 |
---|---|
Doing Business As | OLD WEST END COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JANIS SUNDERHAUS CEO 419-221-3072 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-12-03 |
Last Update Date | 2024-02-02 |