NPI | 1003453317 |
---|---|
Doing Business As | BLUESTONE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LINDA HUTCHENS CEO 304-431-3410 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-12-05 |
Last Update Date | 2021-02-24 |