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Organization
COMMUNITY HEALTH ASSOCIATION
Active
Organization
COMMUNITY HEALTH ASSOCIATION
Active
Other names
Jackson General Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA GAIL GREENE (MEDCIAL STAFF COORDINATOR)
(304) 373-1507
Entity
Organization
Contact information
Practice address
509 CHURCH ST S, RIPLEY, WV 25271-1615
(304) 372-2731
Mailing address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 372-2731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
03/29/2022
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