NPI | 1831492156 |
---|---|
Doing Business As | WEST MEDFORD HEALTH CENTER - LA CLINICA |
Entity Type | Organization |
Authorized Contact | BRENDA IRENE JOHNSON CEO 541-512-3151 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2019-07-15 |