NPI | 1962613349 |
---|---|
Former Legal Business Name | SOUTHWEST COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | GABRIELA BERNAL-LEROI Chief Executive Officer 707-303-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000087) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 550000087) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2022-12-09 |