NPI | 1659362374 |
---|---|
Former Legal Business Name | FAMILY HEALTHCARE INC |
Entity Type | Organization |
Authorized Contact | MARK A BRIDENBAUGH Chief Executive Officer 740-773-4366 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2019-08-25 |