| NPI | 1114327954 |
|---|---|
| Doing Business As | PFCC WEST |
| Entity Type | Organization |
| Authorized Contact | PATRICK CARRON CEO 573-547-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2015-09-24 |