Whalio Doctors

NPI 1356403703

Wirt County Health Services Association, INC

Organisation Federally Qualified Health Center (FQHC) Ravenswood, WV

Practice location

Address
606 Washington Street, Ravenswood, WV 26164
Phone
(304) 273-1033
Fax
(304) 273-1034

Authorised official

Name
Vicki L Knicely
Title
Billing Supervisor Credentialing
Phone
(304) 275-3301

Registered specialties (2)

Federally Qualified Health Center (FQHC) Primary
Ambulatory Health Care Facilities Taxonomy 261QF0400X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Registry record

NPI
1356403703
Entity type
Organization
NPI issued
14 Dec 2006
Record last updated
3 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.