| NPI | 1275561797 |
|---|---|
| Doing Business As | WEST BELLEVILLE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY MCCULLEY Chief Executive Officer 618-332-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 122300000X Dentist | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-11-03 |