| NPI | 1780982058 |
|---|---|
| Doing Business As | HEALTH CENTER AT INTERNATIONAL CIRCLE |
| Entity Type | Organization |
| Authorized Contact | CINDY PRATT Chief Financial Officer 719-344-6188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2021-05-19 |