Community Health Foundation of Man WV

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COMMUNITY HEALTH FOUNDATION OF MAN WV

Practice address

600 East McDonald Avenue
Man, WV 25635-1023

Phone

(304) 583-6541

Fax

(304) 583-6018

NPI assigned

Jun 27, 2005

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hershel Chafin

Title

Ceo

Phone

(304) 583-6541

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1184620841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 EAST MCDONALD AVENUE",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351023",
            "telephone_number": "304-583-6541",
            "fax_number": "304-583-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST MCDONALD AVENUE",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351023",
            "telephone_number": "304-583-6541",
            "fax_number": "304-583-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH FOUNDATION OF MAN WV",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "CHAFIN",
        "authorized_official_first_name": "HERSHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-583-6541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035282000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Linville Collins, RPH
• Community Health Foundation
• Community Health Foundation
• Community Health Foundation
• Community Health Foundation
• Community Prescription Center Inc (Man Pharmacy)
• Community Prescription Center Inc (Man Pharmacy)
• Connie Dale Cook II, PAC
• Haley Crum, FNP-BC
• Terri D Doss, RPH

• Federally Qualified Health Center (FQHC) in Man, WV
• Providers in Man, WV by specialty
• Federally Qualified Health Center (FQHC) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.