NPI | 1811562044 |
---|---|
Doing Business As | CENTRAL CITY HEALTH |
Doing Business As | CENTRAL CITY PHARMACY |
Entity Type | Organization |
Authorized Contact | VALENCIA A FRANK Revenue Cycle Manager 313-635-4213 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 251S00000X |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2021-05-20 |
Last Update Date | 2024-11-26 |