Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Clinic/Center |
261Q00000X |
| NPI # | 1861120875 |
| LBN Legal business name | SAN LUIS WALK-IN CLINIC, INC. |
| Authorized official | AMANDA AGUIRRE - (PRESIDENT & CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 08/09/2022 |
| Last updated | 01/03/2025 - More than a year ago |
| Identifiers | n/a |
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