Organization · Type 2 NPI

Clendenin Health Center Lab

Federally Qualified Health Center (FQHC) · Clendenin, WV

NPI number 1407259062 Active

Practice location

107 Koontz Ave Ste 200
Clendenin, WV 25045-9581

Fax (301) 734-2047

Mailing address

PO Box 70
Dawes, WV 25054-0070

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

14 other providers at this address

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About NPI 1407259062

Clendenin Health Center Lab's National Provider Identifier is 1407259062, issued on Sep 26, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Clendenin, WV. The record was last updated on Jul 30, 2025.