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453 Van Voorhis Rd Morgantown WV 26505-3408 | |
| (304) 598-5100 | |
| (304) 598-5167 |
| Full Name | |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 453 Van Voorhis Rd, Morgantown, West Virginia |
| Authorized Official Name and Position | James Strosnider (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3045985100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
453 Van Voorhis Rd Morgantown WV 26505-3408 Ph: (304) 598-5100 | 453 Van Voorhis Rd Morgantown WV 26505-3408 Ph: (304) 598-5100 |
| NPI Number | 1780677203 |
|---|---|
| Provider Enumeration Date | 08/30/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780677203 | NPI | - | NPPES |
| 0021420001 | Medicaid | WV | |
| 0021420008 | Medicaid | WV | |
| 0021420002 | Medicaid | WV | |
| 0021420007 | Medicaid | WV |
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