NPI | 1942844477 |
---|---|
Other Name | NORTH EAST MEDICAL SERVICES - POLK |
Entity Type | Organization |
Authorized Contact | EDDIE W CHAN President & CEO 415-391-9686 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251X00000X | |
Enumeration Date | 2019-10-28 |
Last Update Date | 2022-03-08 |