NPI | 1689997678 |
---|---|
Other Name | SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MAN |
Entity Type | Organization |
Authorized Contact | LISA LEACH CEO 304-824-5806 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-03-05 |
Last Update Date | 2020-05-08 |