| NPI | 1952885600 |
|---|---|
| Doing Business As | CHARLES WHITE FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL N/A JORDAN CEO 251-432-4117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| 133N00000X Nutritionist | |
| 152W00000X Optometrist | |
| 171M00000X Case Manager/Care Coordinator | |
| 183500000X Pharmacist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2085B0100X Radiology, Body Imaging | |
| 208D00000X General Practice | |
| 261QC1500X Clinic/Center, Community Health | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2022-08-30 |