| Ft. Gay Health Care | |
|
#71 Wayne St Fort Gay WV 25514-8518 | |
| (304) 648-5544 | |
| Not Available |
| Full Name | Ft. Gay Health Care |
|---|---|
| Speciality | Dentist |
| Location | #71 Wayne St, Fort Gay, West Virginia |
| Authorized Official Name and Position | Mary-beth Brubeck (VICE PRESIDENT OF FINANCE / CFO) |
| Authorized Official Contact | 3045253334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ft. Gay Health Care Po Box 1680 Huntington WV 25717-1680 Ph: (304) 697-1396 | Ft. Gay Health Care #71 Wayne St Fort Gay WV 25514-8518 Ph: (304) 648-5544 |
| NPI Number | 1104099811 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104099811 | NPI | - | NPPES |
| 2752543 | Medicaid | OH | |
| 6190084100 | Medicaid | KY | |
| 0035071001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2768 (West Virginia) | Primary |