NPI | 1962741421 |
---|---|
Other Name | CLARA F. GUNN MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | MICHELLE A. LEWIS Interim Chief Executive Officer 336-355-9715 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-02-04 |
Last Update Date | 2015-04-20 |