NPI | 1780962340 |
---|---|
Other Name | INDIAN HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CRAIG ROBINSON Executive Director 304-734-2040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WV 1041-6374) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2011-08-01 |