| NPI | 1225302680 |
|---|---|
| Other Name | FERNDALE FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DEAN WIGHT Executive Director 360-676-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |