Provider Demographics
NPI:1598224743
Name:E. A. HAWSE HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:E. A. HAWSE HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:ROHRBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:304-874-3687
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:WARDENSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26851-0097
Mailing Address - Country:US
Mailing Address - Phone:304-874-3687
Mailing Address - Fax:304-874-3692
Practice Address - Street 1:111 S GROVE ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26847-1804
Practice Address - Country:US
Practice Address - Phone:304-530-6101
Practice Address - Fax:304-530-6103
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:E. A. HAWSE HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-18
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy