| NPI | 1881997831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON WILSON CEO 509-444-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2021-10-18 |