NPI | 1861116774 |
---|---|
Doing Business As | SHENANDOAH COMMUNITY HEALTH MARTINSBURG HIGH SCHOOL |
Entity Type | Organization |
Authorized Contact | MIKE HASSING CEO 304-263-4999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-10-04 |
Last Update Date | 2022-10-04 |