Organization
MINNIE HAMILTON HEALTH CARE CENTER, INC
Active
Organization
MINNIE HAMILTON HEALTH CARE CENTER, INC
Active
Other names
Gilmer Office - Medicare - FQHC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN S. WHITED (CEO)
(304) 354-9244
Entity
Organization
Contact information
Practice address
809 MINERAL RD STE 1, GLENVILLE, WV 26351-1385
(304) 354-9244
(304) 354-9323
Mailing address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
150
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5369001-000
—
WV
Enumeration date
08/25/2006
Last updated
10/30/2014
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