NPI | 1649809864 |
---|---|
Doing Business As | HEALTHY KIDS CLINIC - DANVILLE |
Doing Business As | DANVILLE INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | ERIC E LOY CEO 270-858-6655 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2023-03-14 |