NPI | 1093220303 |
---|---|
Other Name | ROBERT C. BYRD CLINIC - RUPERT |
Entity Type | Organization |
Authorized Contact | MARY P NEMCIK Executive Director 304-645-3220 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 36604) |
Enumeration Date | 2017-12-08 |
Last Update Date | 2025-01-30 |