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 |
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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 |
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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 |
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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 |
R Legacy Inv Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4706 Knottsville Rd, Grafton, WV 26354 Phone: 304-265-2874 | |