Minnie Hamilton Health Care Center, Inc.
Organization Active NPI Dental Clinic/Center · Grantsville, WV
NPI 1962519967 · NPPES record last updated Apr 18, 2012
Key facts
- NPI
- 1962519967
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 150 (WV)
- Legal business name
- MINNIE HAMILTON HEALTH CARE CENTER, INC.
- Practice address
- 186 Hospital Drive
Grantsville, WV 26147-7100 - Phone
- (304) 354-9244
- Fax
- (304) 354-9323
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen S. Whited
- Title
- Cfo/Coo
- Phone
- (304) 354-9244
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Minnie Hamilton Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 150 | WV | Yes |
Addresses
Primary practice location
186 Hospital Drive
Grantsville, WV 26147-7100
Mailing address
186 Hospital Drive
Grantsville, WV 26147-7100
Phone (304) 354-9244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002176-008 | Medicaid | WV |
Other names
- Dental Office - Medicaid
Other providers in Grantsville, WV
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
- Brandon Mollohan
- Amanda Marie Moneypenny
- Ariel Denise Mooney
- Shonda Lynn Moore
All providers in Grantsville, WV · Dental Clinic/Center 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 Apr 18, 2012. 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.