NPI | 1851005235 |
---|---|
Doing Business As | SOUTHEAST COMMUNITY HEALTH SYSTEMS - COPPER MILL ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | VIRGINIA FOSTER Credentialing Specialist 122-530-6206 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-01-10 |
Last Update Date | 2023-01-10 |