NPI | 1588908362 |
---|---|
Doing Business As | KANAWHA CITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER RUSSELL Administrative Assistant 304-734-2040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WV 1041-6374) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2012-11-19 |