NPI | 1407133069 |
---|---|
Doing Business As | CATAWBA VALLEY FAMILY MEDICINE - NORTHEAST HICKORY |
Entity Type | Organization |
Authorized Contact | ROBERT ERVIN SPENCER CEO 704-874-1902 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2011-11-10 |
Last Update Date | 2021-05-07 |