| NPI | 1912431818 |
|---|---|
| Doing Business As | 1ST CHOICE HEALTHCARE SALEM |
| Entity Type | Organization |
| Authorized Contact | BECKY JO WELLS Credentialing Specialist 870-857-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2022-04-14 |