1093729857 NPI number — PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED

Table of content: (NPI 1093729857)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093729857 NPI number — PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093729857
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/23/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25 W BLUEMONT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRAFTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26354-1242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-265-0312
Provider Business Mailing Address Fax Number:
304-265-0314

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
83 POPLAR STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROWLESBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26425-0565
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-454-2421
Provider Business Practice Location Address Fax Number:
304-454-9690
Provider Enumeration Date:
07/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SNYDER
Authorized Official First Name:
BEVERLY
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
EXECUTIVE ASSISTANT/ACCESS MANAGER
Authorized Official Telephone Number:
304-265-0312

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0035354000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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