NPI | 1497214001 |
---|---|
Doing Business As | BELLEFONTAINE COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ANDREW HERSHBERGER CFO 937-599-1411 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-03-14 |
Last Update Date | 2019-03-14 |