| NPI | 1801322730 |
|---|---|
| Other Name | SWANSEA HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY MCCULLEY CEO 618-332-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |