NPI | 1871872184 |
---|---|
Doing Business As | FAMILYCARE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JULIE DIANNE RAY Credentialing Specialist 304-757-6999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WV 2256-9525) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-08-04 |
Last Update Date | 2022-05-24 |