| NPI | 1457008385 |
|---|---|
| Doing Business As | FAMILYCARE HEALTHCENTER |
| Entity Type | Organization |
| Authorized Contact | JULIE DIANNE RAY Credentialing Specialist 304-757-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-05-24 |