| NPI | 1962245811 |
|---|---|
| Other Name | GREAT SALT PLAINS HEALTH CENTER INC - ENID BROADWAY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY STARKEY CEO 580-215-1766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |