NPI | 1801544861 |
---|---|
Doing Business As | HOMEPLACE CLINIC ASHLAND |
Entity Type | Organization |
Authorized Contact | ROXANN CORDIAL Credentialing COO Rdinator 606-886-8572 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-08-03 |