| E. A. Hawse Health Center, Inc. | |
|
238 Cougar Drive Baker WV 26801 | |
| (304) 897-5970 | |
| Not Available |
| Full Name | E. A. Hawse Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 238 Cougar Drive, Baker, West Virginia |
| Authorized Official Name and Position | Brenda Leigh Thompson (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 3048975915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. A. Hawse Health Center, Inc. Po Box 97 Baker WV 26801-0097 Ph: (304) 897-5915 | E. A. Hawse Health Center, Inc. 238 Cougar Drive Baker WV 26801 Ph: (304) 897-5970 |
| NPI Number | 1053891598 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 07/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053891598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (West Virginia) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
E.a. Hawse Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17978 Sr 55, Baker, WV 26801 Phone: 304-897-5915 Fax: 304-897-6216 |