Organization
JEFFERSON COUNTY FOURTH STREET HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN QUILLEN (EXECUTIVE DIRECTOR)
(740) 283-2856
Entity
Organization
Contact information
Practice address
1 ROSS PARK BLVD STE 202, 380 SUMMIT AVENUE, STEUBENVILLE, OH 43952-2671
(740) 283-2856
Mailing address
1 ROSS PARK BLVD STE 202, 380 SUMMIT AVENUE, STEUBENVILLE, OH 43952-2671
(740) 283-2856
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AN1558329
OH
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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