| NPI | 1013384288 |
|---|---|
| Doing Business As | COMMUNITY CLINIC FAYETTEVILLE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JAMES SEMINGSON CEO 479-751-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2020-01-15 |