# E. A. HAWSE HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Petersburg Elementary School
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124508171
- **Authorized official:** BRENDA LEIGH THOMPSON (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (304) 897-5915

## Contact information

- **Practice address:** 333 RIG ST, PETERSBURG, WV 26847-1644
- **Practice address phone:** (304) 257-1110
- **Practice address fax:** (304) 897-6216
- **Mailing address:** PO BOX 97, BAKER, WV 26801-0097
- **Mailing address phone:** (304) 897-5915
- **Mailing address fax:** (304) 897-6216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2018
- **Last updated:** 08/20/2018