NPI | 1750868675 |
---|---|
Doing Business As | PARKERSBURG FAMILY CARE-WESTBROOK |
Entity Type | Organization |
Authorized Contact | VICKI LYNN KNICELY Billing/Credentialing Coordinator 304-275-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |