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725 N Pike St Grafton WV 26354-1270 | |
(304) 265-4909 | |
(304) 265-4916 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 725 N Pike St, Grafton, West Virginia |
Authorized Official Name and Position | Linda M Shriver (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3042650312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 399 Preston-taylor Community Health Centers Inc Grafton WV 26354-0399 Ph: (304) 265-0312 | 725 N Pike St Grafton WV 26354-1270 Ph: (304) 265-4909 |
NPI Number | 1649265455 |
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Provider Enumeration Date | 09/19/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1649265455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Preston Taylor Community Health Centers, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 North Pike Street, Grafton, WV 26354 Phone: 304-265-0312 Fax: 304-265-0314 | |
R Legacy Inv Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4706 Knottsville Rd, Grafton, WV 26354 Phone: 304-265-2874 | |