Organization
E. A. HAWSE HEALTH CENTER, INC.
Active
Other names
Capon Bridge Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH MICHELLE HEISHMAN (CREDENTIALING)
(304) 897-5915
Entity
Organization
Contact information
Practice address
75 CAPON SCHOOL ST, CAPON BRIDGE, WV 26711-9059
(304) 897-5915
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
09/15/2021
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