Organization
E. A. HAWSE HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH MICHELLE HEISHMAN (CREDENTIALING)
(304) 897-5915
Entity
Organization
Contact information
Practice address
HAMPSHIRE HIGH SCHOOL, 157 TROJAN WAY, ROMNEY, WV 26757-6317
(304) 897-5915
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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