| NPI | 1942584255 |
|---|---|
| Doing Business As | COMMUNITY CLINIC AT MCC |
| Entity Type | Organization |
| Authorized Contact | ANNETTE BALLEW Chief Financial Officer 254-313-4282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2017-07-28 |