Organization
PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Active
Parent organization
PRESTON TAYLOR COMMUNITY HEALTH CENTERS INC
Other names
Mt. Storm Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTON TAYLOR COMMUNITY HEALTH CENTERS INC
Authorized official
BEVERLY J. SNYDER (EXECUTIVE ASSISTANT/ACCESS MANAGER)
(304) 265-0312
Entity
Organization
Contact information
Practice address
14311 GEORGE WASHINGTON HIGHWAY, MT. STORM, WV 26739-0077
(304) 693-7616
(304) 693-7776
Mailing address
25 W BLUEMONT ST, GRAFTON, WV 26354-1242
(304) 265-0312
(304) 265-0314
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007992
—
WV
Enumeration date
07/08/2006
Last updated
02/15/2022
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