NPI | 1932263332 |
---|---|
Doing Business As | VIENNA MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | CYNTHIA K FLAMM CEO 618-833-4471 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2018-09-05 |