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1215848320 NPI number — WIRT COUNTY HEALTH SERVICES ASSOCIATION INC

NPI Number: 1215848320
Health Care Provider/Practitioner: WIRT COUNTY HEALTH SERVICES ASSOCIATION INC

Information about “1215848320” NPI (WIRT COUNTY HEALTH SERVICES ASSOCIATION INC) exists in 1215848320 in HTML format HTML  |  1215848320 in plain Text format TXT  |  1215848320 in PDF (Portable Document Format) PDF  |  1215848320 in an XML format XML  formats.

NPI Number : 1215848320 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215848320",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "WIRT COUNTY HEALTH SERVICES ASSOCIATION INC",
    "ParentOrgTIN": null,
    "OrgName": "WIRT COUNTY HEALTH SERVICES ASSOCIATION INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "483 COURT ST # A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELIZABETH",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26143-1109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-275-3301",
    "MailingAddressFaxNumber": "304-275-4798",
    "FirstLinePracticeLocationAddress": "803 KAISER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RAVENSWOOD",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "26164-1224",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-273-2692",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/16/2026",
    "LastUpdateDate": "09/16/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DUDLEY",
    "AuthorizedOfficialFirstName": "ROB",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "304-861-4100",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QF0400X",
        "TaxonomyName": "Federally Qualified Health Center (FQHC)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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