NPI | 1962085449 |
---|---|
Other Name | VPCHC-SOUTH TERRE HAUTE |
Entity Type | Organization |
Authorized Contact | TERRY J WARREN CEO 765-828-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-05-03 |
Last Update Date | 2023-12-18 |