| NPI | 1255507810 |
|---|---|
| Doing Business As | COMMUNITY CARE PEDIATRICS OF BUCKHANNON |
| Entity Type | Organization |
| Authorized Contact | RICHARD G SIMON CEO 304-545-0571 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2024-01-19 |