| NPI | 1922138841 |
|---|---|
| Other Name | GRASS VALLEY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SIERK HAITSMA Chief Financial Officer 530-887-2841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 230000303) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-11-02 |