# PRINCETON COMMUNITY HOSPITAL ASSN., INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bluewell Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972810125
- **Authorized official:** DIANE LYNN SPENCER (VP OF FINANCE)
- **Authorized official phone:** (304) 487-7505

## Contact information

- **Practice address:** 154 MAJESTIC PLACE, BLUEFIELD, WV 24701
- **Practice address phone:** (304) 589-4377
- **Practice address fax:** (304) 589-4389
- **Mailing address:** PO BOX 1369, PRINCETON, WV 24740-1369
- **Mailing address phone:** (304) 487-7451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | WV | — |

## Other

- **Enumeration date:** 09/09/2010
- **Last updated:** 05/10/2022