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Preston Taylor Community Health Centers, Incorporated

Preston Taylor Community Health Centers, Incorporated is a health care provider in Newburg, WV. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 2604 Grange Hall Road, Eglon, WV 26716-0008, US
Practice Location Phone304-735-3155
Practice Location Fax304-735-3409
Legal Business NamePRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED
Other Organization NameEGLON CLINIC
Other Organization Name TypeDoing Business As Name
NPI ?1538277231
Entity TypeOrganization
Enumeration Date ? Aug 25, 2006
Last Update Date ? Aug 5, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Preston Taylor Community Health Centers, Incorporated

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC)

legacy-id-icon Legacy Provider IDs of Preston Taylor Community Health Centers, Incorporated

Provider IdIssuer StateIssuer TypeIssuer
0035255000West VirginiaMedicaid

official-icon Authorized Official of Preston Taylor Community Health Centers, Incorporated

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Preston Taylor Community Health Centers, Incorporated's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Linda M Shriver
Authorized Official Title/PositionCHIEF EXECUTIVE OFFICER
Authorized Official Phone Number304-265-0312