| NPI | 1720586472 |
|---|---|
| Doing Business As | SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MADISON MEDICAL |
| Entity Type | Organization |
| Authorized Contact | LETITIA ANN WEAVER Credentialing COO Rdinator 304-824-5806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2023-03-08 |