Organization
E.A. HAWSE HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA THOMPSON (CEO)
(304) 897-5915
Entity
Organization
Contact information
Practice address
17978 SR 55, BAKER, WV 26801
(304) 897-5915
(304) 897-6216
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
(304) 897-6216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
122300000X
Dentist
—
—
124Q00000X
Dental Hygienist
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022759001
—
WV
Enumeration date
05/03/2006
Last updated
11/14/2022
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