NPI | 1902961980 |
---|---|
Doing Business As | CLAY-BATTELLE COMMUNITY HEALTH CENTER DENTAL |
Entity Type | Organization |
Authorized Contact | REBECCA J THOMAS CEO 304-432-8211 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-12-27 |
Last Update Date | 2021-08-25 |