NPI | 1578928826 |
---|---|
Doing Business As | WESCONNETT COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MIA L JONES CEO 904-760-4904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: FL N04000004094) |
Enumeration Date | 2015-12-30 |
Last Update Date | 2022-12-22 |