NPI | 1801266879 |
---|---|
Doing Business As | HIGHLAND PHYSICIANS FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | FREDERICK JACKSON Executive Director 570-253-8450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
Enumeration Date | 2015-10-02 |
Last Update Date | 2015-10-08 |