NPI | 1861168155 |
---|---|
Doing Business As | FOOTHILLS COMMUNITY HEALTH CARE INC MOBILE |
Entity Type | Organization |
Authorized Contact | MARK JOHN RAJKOWSKI CEO 864-722-0283 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
261QP2300X Clinic/Center Primary Care | |
Enumeration Date | 2021-08-18 |
Last Update Date | 2021-10-13 |