Organization
E.A. HAWSE HEALTH CENTER INC.
Active
Organization
E.A. HAWSE HEALTH CENTER INC.
Active
Other names
Hawse Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA WALLS (CEO)
(304) 897-5915
Entity
Organization
Contact information
Practice address
106 HAROLD K MICHAELS DR, MATHIAS, WV 26812-8142
(304) 897-5915
(304) 897-6216
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
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099006000
—
WV
Enumeration date
05/02/2006
Last updated
01/29/2020
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