Organization
PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Active
Parent organization
PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Other names
Newburg Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Authorized official
ELIZABETH J GRIFFITH (CHIEF EXECUTIVE OFFICER)
(304) 265-0312
Entity
Organization
Contact information
Practice address
1321 N MOUNTAINEER HIGHWAY, NEWBURG, WV 26410
(304) 892-2812
(304) 892-2814
Mailing address
25 W BLUEMONT ST, GRAFTON, WV 26354-1242
(304) 265-0312
(304) 265-0314
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035308000
—
WV
Enumeration date
08/25/2006
Last updated
12/09/2024
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