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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