| NPI | 1568186153 |
|---|---|
| Doing Business As | SHENANDOAH COMMUNITY HEALTH WIDMYER ELEMENTARY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HASSING CEO 304-263-4999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-29 |