NPI | 1841481421 |
---|---|
Doing Business As | INCLINE VILLAGE FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS G CHASE CEO 775-888-6610 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2022-07-21 |