Organization
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Active
Parent organization
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Other names
Dental Center of Taylor County
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Authorized official
MRS. LINDA M. SHRIVER (CHIEF EXECUTIVE OFFICER)
(304) 265-0312
Entity
Organization
Contact information
Practice address
711 N PIKE ST, GRAFTON, WV 26354-1221
(304) 265-4600
(304) 265-6008
Mailing address
P.O. BOX 399, GRAFTON, WV 26354-1270
(304) 265-0312
(304) 265-0314
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1039-5432
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035347002
—
WV
Enumeration date
04/29/2016
Last updated
04/29/2016
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