Wirt County Health Services Association, INC
NPI #1356403703 in Ravenswood, West Virginia
Provider Information
- NPI Number
- 1356403703
- Entity Type
- Organization
- Organization Name
- Wirt County Health Services Association, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Jan 3, 2014
Practice Location
- Address
- 606 WASHINGTON STREET
- City
- Ravenswood
- State
- West Virginia
- ZIP Code
- 26164
- Phone
- (304) 273-1033
Authorized Official
- Name
- MRS. VICKI L KNICELY
- Title
- BILLING SUPERVISOR CREDENTIALING
- 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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