NPI | 1750734307 |
---|---|
Doing Business As | OIC FAMILY MEDICAL CENTER AT COMMUNITY HEALTH PLAZA |
Entity Type | Organization |
Authorized Contact | REUBEN BLACKWELL Chief Executive Officer 252-212-3480 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-12-13 |