| NPI | 1639658156 |
|---|---|
| Doing Business As | PINEVILLE CHILDRENS CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM HARRIS Credentialing/ Billing Coordinator 304-448-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |