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Organization

PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED

Active
Parent organization
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Other names
Dental Center of Taylor County
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Authorized official
LINDA M SHRIVER (CHIEF EXECUTIVE OFFICER)
(304) 265-0312
Entity
Organization

Contact information

Practice address
711 N PIKE ST, GRAFTON, WV 26354
(304) 265-4600
(304) 265-6008
Mailing address
PO BOX 399, 725 N PIKE ST, GRAFTON, WV 26354
(304) 265-0312
(304) 265-0314

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0035347002
WV
Enumeration date
08/25/2006
Last updated
08/05/2014
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