NPI | 1770510240 |
---|---|
Doing Business As | SOUTHWAY URGENT CENTER |
Entity Type | Organization |
Authorized Contact | TONI R ESTEP Chief Executive Officer 765-281-4257 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2019-05-08 |