Community Health Foundation
Organization Active NPI Clinical Medical Laboratory · Man, WV
NPI 1023076544 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023076544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- COMMUNITY HEALTH FOUNDATION
- Practice address
- 600 East McDonald Avenue
Man, WV 25635-1097 - Phone
- (304) 583-6541
- Fax
- (304) 583-6018
- NPI assigned
- May 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Roscoe Mays III
- Title
- Ceo
- Phone
- (304) 583-6541
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Community Health Foundation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | WV | Yes |
Addresses
Primary practice location
600 East McDonald Avenue
Man, WV 25635-1097
Mailing address
600 East McDonald Avenue
Man, WV 25635-1097
Phone (304) 583-6541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0040502000 | Medicaid | WV |
Other providers in Man, WV
- Donna Lee Clark
- Shawn E Cline-Riggins
- Angel Dawn Collins
- Jade Maddisyn Collins
- Misty Linville Collins
- Community Health Foundation
- Community Health Foundation
- Community Health Foundation
- Community Health Foundation of Man WV
- Community Prescription Center Inc
All providers in Man, WV · Clinical Medical Laboratory in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.