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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