NPI | 1366212326 |
---|---|
Doing Business As | VALLEY HEALTH SCP - CHARLESTON 305 |
Entity Type | Organization |
Authorized Contact | MARY-BETH N. BRUBECK Chief Financial Officer 304-525-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2024-01-02 |
Last Update Date | 2024-01-18 |