NPI | 1275525735 |
---|---|
Doing Business As | POPE COUNTY CLINIC |
Entity Type | Organization |
Authorized Contact | FREDERICK L BERNSTEIN CEO 618-457-0450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2010-09-01 |