Organization
COMMUNITY HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERSHEL CHAFIN (CEO)
(304) 583-6541
Entity
Organization
Contact information
Practice address
MAIN STREET RT 80, GILBERT, WV 25621-0925
(304) 664-3223
(304) 664-3284
Mailing address
PO BOX 925, GILBERT, WV 25621-0925
(304) 664-3223
(304) 664-3284
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035277000
—
WV
Enumeration date
07/26/2005
Last updated
07/21/2022
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