Wirt County Health Services Association INC

NPI #1043401730 in Ripley, West Virginia

Provider Information

NPI Number
1043401730
Entity Type
Organization
Organization Name
Wirt County Health Services Association INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 7, 2007
Last Updated
Jan 3, 2014

Practice Location

Address
512A SOUTH CHURCH STREET
City
Ripley
ZIP Code
25271-9710
Phone
(304) 372-1033

Authorized Official

Name
VICKI L. KNICELY
Title
BILLING/CREDENTIALING SUPERVISOR
Phone
(304) 275-3301

Specialties & Taxonomy Codes

Specialty
Family Medicine
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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