| NPI | 1093883324 |
|---|---|
| Doing Business As | MEADOW BRIDGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA J BENNETT Credentialing Specialist 304-438-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-11-16 |