| Preston Taylor Community Health Centers, Incorporated | |
|
30 Cortland Acres Lane Thomas WV 26292-9704 | |
| (304) 463-3331 | |
| (304) 463-3338 |
| Full Name | Preston Taylor Community Health Centers, Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 Cortland Acres Lane, Thomas, West Virginia |
| Authorized Official Name and Position | Beverly J. Snyder (EXECUTIVE ASSISTANT/ACCESS 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 30 Cortland Acres Lane Thomas WV 26292-9704 Ph: (304) 463-3331 |
| NPI Number | 1245348945 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 02/15/2022 |
| Medicare PECOS PAC ID | 3072406438 |
|---|---|
| Medicare Enrollment ID | O20090507000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245348945 | NPI | - | NPPES |
| 0904002000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |