NPI | 1942573027 |
---|---|
Other Name | GIFFEN MEMORIAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DAVID HAROLD SHIPPEE President & CEO 518-591-4459 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 0101205R) |
Enumeration Date | 2012-02-20 |
Last Update Date | 2018-12-18 |