NPI | 1912377813 |
---|---|
Doing Business As | SOUTHERN BLUESTONE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LINDA HUTCHENS CEO 304-431-5499 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-10-05 |
Last Update Date | 2016-12-15 |