Organization
COMMUNITY HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN E HASTINGS III (CFO)
(304) 583-6541
Entity
Organization
Contact information
Practice address
600 EAST MCDONALD AVENUE, MAN, WV 25635-1097
(304) 583-6541
(304) 583-6018
Mailing address
600 EAST MCDONALD AVENUE, MAN, WV 25635-1097
(304) 583-6541
(304) 583-6018
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
WV
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035282000
—
WV
Enumeration date
05/03/2006
Last updated
09/11/2025
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