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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