| NPI | 1699066985 |
|---|---|
| Doing Business As | CHILDREN'S MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY MCCULLEY CEO 618-332-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-08-02 |