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Organization

E. A. HAWSE HEALTH CENTER, INC.

Active
Find providers by NPI
Organization

E. A. HAWSE HEALTH CENTER, INC.

Active
Other names
Grant Pediatrics and Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA THOMPSON (CEO)
(304) 897-5915
Entity
Organization

Contact information

Practice address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1770
(304) 257-2451
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
(304) 897-6216

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
124Q00000X
Dental Hygienist
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/24/2009
Last updated
01/16/2024
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