Organization
MONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES
Active
Other names
Monroe Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON PARKER MBA (CEO)
(304) 772-3064
Entity
Organization
Contact information
Practice address
200 HEALTH CENTER DRIVE, UNION, WV 24983
(304) 772-3064
(304) 772-3296
Mailing address
200 HEALTH CENTER DRIVE, PO BOX 590, UNION, WV 24983
(304) 772-3064
(304) 772-3296
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706775
BC/BS
WV
05
—
0035243000
—
WV
01
—
5611053
AETNA
WV
01
—
DB2513
MEDICARE RR GROUP
WV
Enumeration date
06/30/2006
Last updated
02/10/2011
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