NPI | 1770096984 |
---|---|
Doing Business As | CENTER HEALTH CARE |
Entity Type | Organization |
Authorized Contact | MARIA NICOLE KANSAS-DEVINE CEO 518-437-5535 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 0101203R) |
261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 0101203R) | |
Enumeration Date | 2017-11-09 |
Last Update Date | 2018-10-17 |