| NPI | 1790966174 |
|---|---|
| Other Name | WALSENBURG CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD MOORE CEO 719-543-8718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CO 180635) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2021-09-30 |