Eastern Band of Cherokee Indians

NPI #1619010634 in Cherokee, North Carolina

Provider Information

NPI Number
1619010634
Entity Type
Organization
Organization Name
Eastern Band of Cherokee Indians
Subpart
Yes (part of a larger organization)
Parent Organization
EASTERN BAND OF CHEROKEE INDIANS
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 15, 2007
Last Updated
Oct 13, 2020

Practice Location

Address
73 KAISER WILNOTY DRIVE
ZIP Code
28719-0736
Phone
(828) 359-6240

Authorized Official

Name
MICHAEL ERNEST QUILLEN
Title
HEALTH CARE BUSINESS MANAGER
Phone
(828) 359-6194

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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