Organization
E. A. HAWSE HEALTH CENTER, INC.
Active
Organization
E. A. HAWSE HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LEIGH THOMPSON (ADMINISTRATIVE ASSISTANT)
(304) 897-5915
Entity
Organization
Contact information
Practice address
238 COUGAR DRIVE, BAKER, WV 26801
(304) 897-5970
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
(304) 897-6216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
WV
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
07/07/2020
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