Organization
COMMUNITY HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ROSCOE MAYS III (CEO)
(304) 583-6541
Entity
Organization
Contact information
Practice address
600 E MCDONALD AVE, MAN, WV 25635-1023
(304) 583-2400
(304) 583-6018
Mailing address
600 E MCDONALD AVE, MAN, WV 25635-1023
(304) 583-2400
(304) 583-6018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013134000
—
WV
Enumeration date
10/05/2006
Last updated
08/22/2020
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