Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1306897962 |
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| LBN Legal business name | FORT MOJAVE INDIAN TRIBE | ||||||||||||
| Authorized official | TIM WILLIAMS - (TRIBAL CHAIRPERSON) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 05/16/2006 | ||||||||||||
| Last updated | 02/06/2023 - About 3 years ago | ||||||||||||
| Identifiers |
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