NPI | 1407025125 |
---|---|
Doing Business As | COMMWELL HEALTH - DME |
Entity Type | Organization |
Authorized Contact | PAMELA M TRIPP CEO 910-567-6194 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2008-02-27 |
Last Update Date | 2018-02-01 |