| NPI | 1932539608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HUNTSMAN Chief Executive Officer 515-248-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2016-10-03 |