Organization
E. A. HAWSE HEALTH CENTER, INC.
Active
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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