| NPI | 1922617695 |
|---|---|
| Other Name | FOUR CORNERS - COMMUNITY HEALTH CENTERS, INC. |
| Entity Type | Organization |
| Authorized Contact | MARK W DICKINSON CFO 407-905-8827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2021-04-21 |