NPI | 1881054476 |
---|---|
Doing Business As | VALLEY HEALTH 10TH STREET |
Entity Type | Organization |
Authorized Contact | MARY-BETH BRUBECK Vice President Of Finance / CFO 304-525-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
363L00000X Nurse Practitioner | |
Enumeration Date | 2016-02-25 |
Last Update Date | 2022-03-31 |