Organization · Type 2 NPI

E. A. Hawse Health Center, Inc.

Community Health Clinic/Center · Petersburg, WV

NPI number 1124508171 Active

Practice location

333 Rig St
Petersburg, WV 26847-1644

Call (304) 257-1110 Map

Fax (304) 897-6216

Mailing address

PO Box 97
Baker, WV 26801-0097

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

NPI record

NPI: 1124508171
Entity type: Organization (Type 2)
Issued: Aug 20, 2018
Last updated: Aug 20, 2018
Status: Active

Other names

<unavail>
Petersburg Elementary School · other name
Petersburg Elementary School · other name

Authorized official

Brenda Leigh Thompson
Administrative Assistant
(304) 897-5915

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124508171

E. A. Hawse Health Center, Inc.'s National Provider Identifier is 1124508171, issued on Aug 20, 2018. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Petersburg, WV. The record was last updated on Aug 20, 2018.