1194341594 NPI number — E. A. HAWSE HEALTH CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194341594 NPI number — E. A. HAWSE HEALTH CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
E. A. HAWSE HEALTH CENTER, INC.
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:
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:
1194341594
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/02/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 97
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAKER
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26801-0097
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-897-5915
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SOUTH BRANCH ELEMENTARY
Provider Second Line Business Practice Location Address:
549 CENTER AVE
Provider Business Practice Location Address City Name:
ROMNEY
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26757-1352
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-897-5915
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2020

Additional Information

Authorized Official

Authorized Official Last Name:
HEISHMAN
Authorized Official First Name:
MEREDITH
Authorized Official Middle Name:
MICHELLE
Authorized Official Title or Position:
CREDENTIALING/BILLING
Authorized Official Telephone Number:
304-897-5915

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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