NPI | 1265615728 |
---|---|
Doing Business As | JACKSON COUNTY SCHOOL WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | VICKI L. KNICELY Billing/Credentialing Supervisor 304-275-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-12-07 |
Last Update Date | 2014-01-03 |