Organization
APPALACHIAN COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KILEY PHD (EXECUTIVE DIRECTOR)
(304) 636-3232
Entity
Organization
Contact information
Practice address
27 S KANAWHA ST, BUCKHANNON, WV 26201-2625
(304) 472-2022
Mailing address
27 S KANAWHA ST, BUCKHANNON, WV 26201-2625
(304) 472-2022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP9911713
MEDICARE GROUP #
WV
Enumeration date
07/26/2007
Last updated
07/30/2007
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