Organization Name: | HEALTH DELIVERY INC |
NPI Number: | 1740308832 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID R GAMEZ (PRESIDENT CEO) |
Mailing Address: | 1120 Commence Wolverine Human Services Vassar Health Center Vassar |
State: | MI US |
Postal Code: | 48768 |
Phone Number: | 9897596464 |
Fax Number: | 9893998233 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |