Organization Name: | UNION COUNTY HEALTH FOUNDATION |
NPI Number: | 1326070814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD BERTRAND (COO) |
Mailing Address: | 204 E Main St Elk Point |
State: | SD US |
Postal Code: | 570252334 |
Phone Number: | 6053563317 |
Fax Number: | 6053562721 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |