NPI | 1386383909 |
---|---|
Doing Business As | PARDEE BLUEMD-805 FAIRVIEW ROAD |
Entity Type | Organization |
Authorized Contact | MICHAEL LYNN SUNDAY VP, Chief Financial Officer 828-696-1175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-06-01 |
Last Update Date | 2023-05-11 |