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Organization
MINNIE HAMILTON HEALTH CARE CENTER, INC.
Active
Organization
MINNIE HAMILTON HEALTH CARE CENTER, INC.
Active
Other names
Dental Office - Medicaid
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN S. WHITED (CFO/COO)
(304) 354-9244
Entity
Organization
Contact information
Practice address
186 HOSPITAL DRIVE, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Mailing address
186 HOSPITAL DRIVE, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
150
WV
Other
Enumeration date
08/24/2006
Last updated
04/18/2012
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