Organization
EASTERN BAND OF CHEROKEE INDIANS
Active
Other names
Qualla Youth Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA KEEFER RN (PROGRAM MANAGER)
(828) 497-6217
Entity
Organization
Contact information
Practice address
1570 ACQUONI RD., SUITE 1, CHEROKEE, NC 28719
(828) 497-6217
Mailing address
PO BOX 1030, CHEROKEE, NC 28719-1030
(828) 497-6217
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
344572A
NC
Other
Enumeration date
02/09/2007
Last updated
01/16/2009
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