NPI | 1821410648 |
---|---|
Doing Business As | ROUTE 66 HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | PATRICK PEER CEO 918-257-8029 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2020-02-19 |