Organization
WIRT COUNTY HEALTH SERVICES ASSOCIATION INC
Active
Parent organization
WIRT COUNTY HEALTH SERVICES ASSOCIATION INC
Other names
Parkersburg Family Care B
Organization subpart
Yes
Provider details
NPI number
Legal business name
WIRT COUNTY HEALTH SERVICES ASSOCIATION INC
Authorized official
VICKI LYNN KNICELY (BILLING SUPERVISOR)
(304) 275-3301
Entity
Organization
Contact information
Practice address
3705 EMERSON AVE, PARKERSBURG, WV 26104-1118
(304) 917-3733
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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