Organization
CLAY-BATTELLE HEALTH SERVICES ASSOCIATION
Active
Other names
Community Health Center of NE Wetzel County Lab
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA J THOMAS (CEO)
(304) 432-8211
Entity
Organization
Contact information
Practice address
1855 HORNET HWY, BURTON, WV 26562-7430
(304) 775-4671
(304) 775-4211
Mailing address
60 MAY LN STE 102, BURTON, WV 26562-9669
(304) 775-4671
(304) 775-4211
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
291U00000X
Clinical Medical Laboratory
51D0236727
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035288007
—
WV
Enumeration date
12/27/2006
Last updated
08/22/2023
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