NPI | 1992822555 |
---|---|
Doing Business As | ISLAND POND HEALTH & DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | PATRICK FLOOD Executive Director/CEO 802-748-9405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2014-01-30 |