Organization
WILLOW CREEK HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN PATRICIA ADDAIR M.S.N, F.N.P (PRESIDENT)
(304) 436-8323
Entity
Organization
Contact information
Practice address
15237 COAL HERITAGE ROAD/US-52 NORTH, HONEYCAMP /247, RODERFIELD, WV 24881
(304) 436-8323
Mailing address
PO BOX 219, PREMIER, WV 24878-0219
(304) 436-8323
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
42727
WV
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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