| NPI | 1861513343 |
|---|---|
| Doing Business As | SOUTHSIDE COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KELLY JO STONE KLINE Rcm 419-720-7883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2019-07-01 |