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Organization

PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED

Active
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Organization

PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED

Active
Parent organization
PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Other names
Community Eye Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Authorized official
ELIZABETH J GRIFFITH (CEO)
(304) 265-0312
Entity
Organization

Contact information

Practice address
216 LINCOLN ST, GRAFTON, WV 26354-1442
(304) 265-1851
(304) 265-0028
Mailing address
25 W BLUEMONT ST, GRAFTON, WV 26354-1242
(304) 265-0312
(304) 265-0314

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871365304
WV
01
581043
MEDICARE
WV
01
P793
MEDICARE
WV
Enumeration date
10/27/2023
Last updated
08/07/2024
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