Wirt County Health Services Association, INC

NPI #1366762825 in Racine, Ohio

Provider Information

NPI Number: 1366762825
Entity Type: Organization
Organization Name: Wirt County Health Services Association, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jun 8, 2010
Last Updated: Sep 7, 2023

Practice Location

Address: 920 ELM ST
City: Racine
State: Ohio
ZIP Code: 45771-8902
Phone: (740) 949-2348

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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