NPI 1356403703
Wirt County Health Services Association, INC
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
Family Medicine Physician
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.