NPI | 1932293941 |
---|---|
Doing Business As | MEADOW BRIDGE CLINIC PAAS FQHC |
Entity Type | Organization |
Authorized Contact | FLOYD N PRICE CEO 304-438-6188 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: 045967) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |