| NPI | 1952030652 |
|---|---|
| Doing Business As | PARDEE BLUEMD-611B FIFTH AVENUE WEST |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYNN SUNDAY VP, Chief Financial Officer 828-696-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2023-05-11 |