| Preston Taylor Community Health Centers, Incorporated | |
|
2604 Grange Hall Road Eglon WV 26716-0008 | |
| (304) 735-3155 | |
| (304) 735-3409 |
| Full Name | Preston Taylor Community Health Centers, Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 2604 Grange Hall Road, Eglon, West Virginia |
| Authorized Official Name and Position | Beverly J. Snyder (EXECUTIVE ASSISTANT/ACCOUNT MANAGER) |
| Authorized Official Contact | 3042650312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Taylor Community Health Centers, Incorporated 25 W Bluemont St Grafton WV 26354-1242 Ph: (304) 265-0312 | Preston Taylor Community Health Centers, Incorporated 2604 Grange Hall Road Eglon WV 26716-0008 Ph: (304) 735-3155 |
| NPI Number | 1538277231 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 02/15/2022 |
| Medicare PECOS PAC ID | 3072406438 |
|---|---|
| Medicare Enrollment ID | O20090507000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538277231 | NPI | - | NPPES |
| 0035255000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |