| NPI | 1033364765 |
|---|---|
| Doing Business As | PINEVILLE CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM HARRIS Billing Supervisor 304-448-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |