Lookup NPI Numbers from the NPI Registry
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X | |||
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center |
| NPI # | 1053588988 |
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| LBN Legal business name | UNDER 21 | ||||
| Authorized official | DAVID DAVIS - (MEDICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/09/2008 | ||||
| Last updated | 06/09/2017 - About 9 years ago | ||||
| Identifiers |
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UNDER 21
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UNDER 21