| NPI | 1790586758 |
|---|---|
| Doing Business As | RHCHC PENNSYLVANIA AVE |
| Entity Type | Organization |
| Authorized Contact | KIM GROVE Revenue Cycle Director 641-684-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |