NPI | 1861185811 |
---|---|
Other Name | SHENANDOAH COMMUNITY HEALTH MOBILE HEALTH UNIT |
Entity Type | Organization |
Authorized Contact | SANDRA L RYAN Provider Recruiting & Credentialing 304-263-4999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-05-26 |
Last Update Date | 2023-05-26 |