| NPI | 1912634072 |
|---|---|
| Doing Business As | MARTIN COUNTY HIGH SCHOOL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBBIE COLVIN Credentialing Manager 606-886-8546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-03-24 |