| NPI | 1245244367 |
|---|---|
| Doing Business As | FAMILY MEDICAL CARE COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JUDY LYNN RAVEAUX Chief Executive Officer 304-797-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-10-30 |