NPI | 1144776279 |
---|---|
Doing Business As | PRIMARY CARE CENTER |
Entity Type | Organization |
Authorized Contact | JOHN ROTH CEO 814-635-2916 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2021-04-22 |