Pendleton Community Care INC
NPI #1912314667 in Brandywine, West Virginia
Provider Information
- NPI Number
- 1912314667
- Entity Type
- Organization
- Organization Name
- Pendleton Community Care INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 15, 2014
- Last Updated
- Jul 19, 2016
Practice Location
- Address
- 11480 BLUE GRAY TRAIL
- City
- Brandywine
- State
- West Virginia
- ZIP Code
- 26802-0247
- Phone
- (304) 249-5381
Authorized Official
- Name
- MS. JAMIE HUDSON
- Title
- CEO
- Phone
- (304) 358-2355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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