| Spotted Owl Healthcare Organization | |
|
807 Elvira Rd Dunbar WV 25064-1001 | |
| (304) 610-5732 | |
| Not Available |
| Full Name | Spotted Owl Healthcare Organization |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 807 Elvira Rd, Dunbar, West Virginia |
| Authorized Official Name and Position | Orlando Yusef Craighead (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3046105732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spotted Owl Healthcare Organization 2635 Riverside Dr Saint Albans WV 25177-3312 Ph: (304) 610-5732 | Spotted Owl Healthcare Organization 807 Elvira Rd Dunbar WV 25064-1001 Ph: (304) 610-5732 |
| NPI Number | 1003459686 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003459686 | NPI | - | NPPES |
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