# COMMUNITY HEALTH FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033205836
- **Authorized official:** MR. ROBERT ROSCOE MAYS III (CEO)
- **Authorized official phone:** (304) 583-6541

## Contact information

- **Practice address:** 600 E MCDONALD AVE, MAN, WV 25635-1023
- **Practice address phone:** (304) 583-2400
- **Practice address fax:** (304) 583-6018
- **Mailing address:** 600 E MCDONALD AVE, MAN, WV 25635-1023
- **Mailing address phone:** (304) 583-2400
- **Mailing address fax:** (304) 583-6018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | WV | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0013134000 | — | WV |