E. a. Hawse Health Center, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Capon Bridge, WV

NPI 1275200313 · NPPES record last updated Sep 15, 2021

Key facts

NPI
1275200313
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
E. A. HAWSE HEALTH CENTER, INC.
Practice address
75 Capon School St
Capon Bridge, WV 26711-9059
Phone
(304) 897-5915
NPI assigned
Aug 26, 2021
Organization subpart
No

Authorized official

Name
Meredith Michelle Heishman
Title
Credentialing
Phone
(304) 897-5915

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
E a Hawse Health Center Inc (24 organizations share this tax ID)

Locations

75 Capon School St
Capon Bridge, WV 26711

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

75 Capon School St
Capon Bridge, WV 26711-9059

Mailing address

PO Box 97
Baker, WV 26801-0097
Phone (304) 897-5915

Other names

  • Capon Bridge Middle School Doing business as

Other providers in Capon Bridge, WV

All providers in Capon Bridge, WV · Federally Qualified Health Center (FQHC) in West Virginia

Sources for this page

Verify at the official NPI Registry.