Organization
E. A. HAWSE HEALTH CENTER, INC.
Active
Organization
E. A. HAWSE HEALTH CENTER, INC.
Active
Other names
Petersburg High School
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH MICHELLE HEISHMAN (BILLING)
(304) 897-5915
Entity
Organization
Contact information
Practice address
207 VIKING DR, PETERSBURG, WV 26847-1674
(304) 257-1444
(304) 897-6216
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
(304) 897-8472
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033347414
GROVE STREET HEALTH CENTER NIP
WV
Enumeration date
08/20/2018
Last updated
05/12/2026
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