Organization
WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC
Active
Organization
WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC
Active
Other names
Parkersburg High School Wellness Center, Wirt County Health Services Association, Inc/Parkersburg Family Care D
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BENNETT (CREDENTIALING)
(304) 275-3301
Entity
Organization
Contact information
Practice address
2101 DUDLEY AVE, PARKERSBURG, WV 26101-3462
(304) 917-3733
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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