Organization
MINNIE HAMILTON HEALTH CARE CENTER, INC.
Active
Other names
Glenville Office - Medicare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN S. WHITED (CFO/COO)
(304) 354-9244
Entity
Organization
Contact information
Practice address
376 WV HWY 5 E, SUITE 101, GLENVILLE, WV 26351
(304) 462-7322
Mailing address
186 HOSPITAL DRIVE, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
150
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511871
GLENVILLE OFFICE - FQHC
WV
Enumeration date
08/17/2006
Last updated
05/18/2023
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