NPI | 1215643440 |
---|---|
Doing Business As | PRIMARYPLUS - MOREHEAD |
Entity Type | Organization |
Authorized Contact | JERRY UGRIN CEO 606-796-3029 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-01-31 |
Last Update Date | 2023-04-11 |