| 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 |