| NPI | 1568102432 |
|---|---|
| Doing Business As | HOMEPLACE CLINIC WINCHESTER |
| Entity Type | Organization |
| Authorized Contact | ROXANN CORDIAL Credentialing Coordinator 606-886-8572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-08-03 |