A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Federally Qualified Health Center (FQHC) | 261QF0400X |
| General Practice | 208D00000X |
* Indicates primary specialty
| NPI Number | 1487749917 |
| Credentials | MD |
| Entity | Individual |
| Enumeration date | 10/03/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
|
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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