| NPI | 1770699621 |
|---|---|
| Doing Business As | HENRIETTA JOHNSON MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ROSA V RIVERA Chief Executive Officer 302-655-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 207Q00000X Family Medicine | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2013-01-16 |