| E. A. Hawse Health Center, Inc.-moorefield | |
|
422 S Main St Moorefield WV 26836-1238 | |
| (304) 538-2331 | |
| Not Available |
| Full Name | E. A. Hawse Health Center, Inc.-moorefield |
|---|---|
| Speciality | Clinic/Center |
| Location | 422 S Main St, Moorefield, West Virginia |
| Authorized Official Name and Position | Meredith Michelle Heishman (CREDENTIALING) |
| Authorized Official Contact | 3048975915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E. A. Hawse Health Center, Inc.-moorefield Po Box 97 Baker WV 26801-0097 Ph: () - | E. A. Hawse Health Center, Inc.-moorefield 422 S Main St Moorefield WV 26836-1238 Ph: (304) 538-2331 |
| NPI Number | 1639771140 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 11/24/2020 |
| Medicare PECOS PAC ID | 6204728041 |
|---|---|
| Medicare Enrollment ID | O20210115002450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639771140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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