NPI | 1114277050 |
---|---|
Doing Business As | CAREXPRESS OF BUCKHANNON |
Entity Type | Organization |
Authorized Contact | DORA L POTASNIK Credentialing 304-317-7275 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WV 2274-1060) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2024-01-19 |