NPI | 1700828597 |
---|---|
Doing Business As | SHELBY VALLEY CLINIC |
Entity Type | Organization |
Authorized Contact | BOYCE DEAN SHOFNER CEO 606-886-8546 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700058) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2023-03-09 |