NPI | 1497244412 |
---|---|
Doing Business As | LEWISBURG HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DEBRA J DAVIDSON-BENNETT Credentialing Specialist 304-438-6188 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-05-04 |
Last Update Date | 2018-05-04 |