NPI | 1952077893 |
---|---|
Doing Business As | LEWIS AND CLARK ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | AMELIA MURPHY Medical Staff Coordniator 208-232-7862 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-08-20 |
Last Update Date | 2021-08-20 |