Organization
COMMUNITY HEALTH FOUNDATION OF MAN WV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERSHEL CHAFIN (CEO)
(304) 583-6541
Entity
Organization
Contact information
Practice address
600 EAST MCDONALD AVENUE, MAN, WV 25635-1023
(304) 583-6541
(304) 583-6018
Mailing address
600 EAST MCDONALD AVENUE, MAN, WV 25635-1023
(304) 583-6541
(304) 583-6018
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035282000
—
WV
Enumeration date
06/27/2005
Last updated
07/17/2007
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