NPI | 1366723975 |
---|---|
Doing Business As | LOGAN WILDCAT HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LISA LEACH CEO 304-824-5806 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-09-09 |
Last Update Date | 2023-03-08 |