| NPI | 1790276525 |
|---|---|
| Doing Business As | FAMILYCARE |
| Doing Business As | FAMILYCARE HEALTHCENTER |
| Entity Type | Organization |
| Authorized Contact | JULIE DIANNE RAY Credentialing Specialist 304-757-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WV 2359-3514) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2022-05-24 |