NPI | 1417616053 |
---|---|
Doing Business As | SHENANDOAH COMMUNITY HEALTH TUSCARORA ELEMENTARY |
Entity Type | Organization |
Authorized Contact | MICHAEL HASSING CEO 304-263-4999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-12-10 |
Last Update Date | 2021-12-10 |