NPI | 1023778800 |
---|---|
Doing Business As | ABBEVILLE COMMUNITY HEALTH CENTER SCHOOL-BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RODERICK CHARLES CAMPBELL CEO 337-365-4945 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-12-21 |
Last Update Date | 2021-12-21 |