Organization
APPALACHIAN COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KILEY PHD (EXECUTIVE DIRECTOR)
(304) 636-3232
Entity
Organization
Contact information
Practice address
725 YOKUM STREET, ELKINS, WV 26241
(304) 636-3232
(304) 636-9243
Mailing address
725 YOKUM STREET, ELKINS, WV 26241
(304) 636-3232
(304) 636-9243
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023491002
—
WV
Enumeration date
12/04/2006
Last updated
08/22/2020
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