NPI | 1841701877 |
---|---|
Doing Business As | FAMILY HEALTHCARE SOUTH |
Entity Type | Organization |
Authorized Contact | KRISTIN RENZ-JOHNSON Manager Revenue Cycle 701-271-1494 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2024-04-03 |