| NPI | 1578743688 |
|---|---|
| Doing Business As | EFFINGHAM HEALTH CENTER II |
| Entity Type | Organization |
| Authorized Contact | LARRY MCCULLEY COO 618-332-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-06-13 |