| NPI | 1194759290 |
|---|---|
| Doing Business As | FAMILYCARE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JULIE DIANNE RAY Credentialing Specialist 304-757-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-09-13 |