Organization
CLAY-BATTELLE HEALTH SERVICES ASSOCIATION
Active
Other names
Community Health Center of NE Wetzel County
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001990226
MS BCBS
WV
05
—
0035288001
—
WV
01
—
CN0274
MEDICARE RR
WV
01
—
CN0274
RAILROAD MEDICARE
—
Enumeration date
12/27/2006
Last updated
08/16/2023
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