| NPI | 1508394487 |
|---|---|
| Doing Business As | ONEIDA ELEMENTARY SCHOOL BASED HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. STANLEY C.E.O. 606-526-9005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-06-28 |