NPI | 1659733293 |
---|---|
Doing Business As | VALLEY HEALTH FOODFAIR RT 60 |
Entity Type | Organization |
Authorized Contact | MARY-BETH BRUBECK Vice President Of Finance / CFO 304-525-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2016-03-23 |
Last Update Date | 2022-03-31 |