NPI | 1790413268 |
---|---|
Doing Business As | INEZ ELEMENTARY SCHOOL CLINIC |
Entity Type | Organization |
Authorized Contact | DEBBIE COLVIN Credentialing Manager 606-886-8546 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-08-11 |
Last Update Date | 2023-03-24 |