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Organization

E. A. HAWSE HEALTH CENTER, INC.

Active
Other names
Capon Bridge Elementary School
Organization subpart
No

Provider details

NPI number
Authorized official
MEREDITH MICHELLE HEISHMAN (CREDENTIALING)
(304) 897-5915
Entity
Organization

Contact information

Practice address
99 CAPON SCHOOL ST, CAPON BRIDGE, WV 26711-9059
(304) 897-5915
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
08/05/2021
Last updated
09/15/2021
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