Organization
SENECA HEALTH SERVICES, INC.
Active
Parent organization
SENECA HEALTH SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENECA HEALTH SERVICES, INC.
Authorized official
MRS. MARCIE L VAUGHAN LP (PRESIDENT CEO)
(304) 872-6503
Entity
Organization
Contact information
Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
(304) 497-0516
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-6503
(304) 872-5415
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
371
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005478001
—
WV
01
—
1154532513
MEDICAID CLINIC NPI
—
05
—
1245441609
—
WV
05
—
1518953652
—
WV
Enumeration date
05/25/2007
Last updated
04/18/2022
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