NPI | 1790541431 |
---|---|
Doing Business As | MT. VERNON COMMUNITY CARE |
Entity Type | Organization |
Authorized Contact | LOGAN ROY ANTLE CEO/President 606-425-5768 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-02-21 |
Last Update Date | 2024-02-21 |