| Preston Taylor Community Health Centers, Incorporated | |
|
725 North Pike Street Grafton WV 26354-1270 | |
| (304) 265-0312 | |
| (304) 265-0314 |
| Full Name | Preston Taylor Community Health Centers, Incorporated |
|---|---|
| Speciality | Family Medicine |
| Location | 725 North Pike Street, Grafton, West Virginia |
| Authorized Official Name and Position | Elizabeth J. Griffith (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3042650312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Taylor Community Health Centers, Incorporated 25 W Bluemont St Grafton WV 26354-1242 Ph: (304) 265-0312 | Preston Taylor Community Health Centers, Incorporated 725 North Pike Street Grafton WV 26354-1270 Ph: (304) 265-0312 |
| NPI Number | 1699845420 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699845420 | NPI | - | NPPES |
| 0035308000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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