NPI | 1326392747 |
---|---|
Doing Business As | MCKINLEY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LARRY W MCCULLEY CEO 618-332-0694 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical | |
122300000X Dentist | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207RI0200X Internal Medicine, Infectious Disease | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2012-11-07 |
Last Update Date | 2012-11-07 |