Organization
PENDLETON COMMUNITY CARE INC
Active
Other names
Brandywine Elementary School SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE HUDSON (CEO)
(304) 358-2355
Entity
Organization
Contact information
Practice address
11480 BLUE GRAY TRAIL, BRANDYWINE, WV 26802-0247
(304) 249-5381
Mailing address
PO BOX 100, FRANKLIN, WV 26807-0100
(304) 358-2355
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/19/2016
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