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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