NPI | 1801317102 |
---|---|
Doing Business As | HEALTH CENTER AT FAITH MISSION |
Doing Business As | LSS HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ALYSSA HUDDLESTON Health Center Executive Director 614-224-6617 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2017-06-28 |
Last Update Date | 2025-09-03 |