Organization
WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC
Active
Other names
Parkersburg Family Care-Westbrook
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI LYNN KNICELY (BILLING/CREDENTIALING COORDINATOR)
(304) 275-3301
Entity
Organization
Contact information
Practice address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
(304) 428-2597
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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