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 |