NPI | 1750983276 |
---|---|
Doing Business As | FAMILY HEALTH CENTER ON VIRGINIA |
Entity Type | Organization |
Authorized Contact | ALLEN PATTERSON Chief Executive Officer 940-766-6306 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-11-10 |
Last Update Date | 2020-11-16 |