# COMMUNITY HEALTH ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson General Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023599594
- **Authorized official:** BRENDA GAIL GREENE (MEDCIAL STAFF COORDINATOR)
- **Authorized official phone:** (304) 373-1507

## Contact information

- **Practice address:** 509 CHURCH ST S, RIPLEY, WV 25271-1615
- **Practice address phone:** (304) 372-2731
- **Mailing address:** 122 PINNELL ST, RIPLEY, WV 25271-9101
- **Mailing address phone:** (304) 372-2731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2018
- **Last updated:** 03/29/2022