A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1508120619 |
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| LBN Legal business name | LITTLE RIVER MEDICAL CENTER, INC. | ||||
| Authorized official | PAMELA DAVIS - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/03/2012 | ||||
| Last updated | 01/16/2024 - About 2 years ago | ||||
| Identifiers |
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