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220 Johns Creek Rd Milton WV 25541 | |
(304) 743-1407 | |
(304) 743-4516 |
Full Name | |
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Speciality | Clinic/Center |
Location | 220 Johns Creek Rd, Milton, West Virginia |
Authorized Official Name and Position | Mary-beth Brubeck (VICE PRESIDENT OF FINANCE / CFO) |
Authorized Official Contact | 3045253334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1680 Huntington WV 25717-1680 Ph: (304) 697-1396 | 220 Johns Creek Rd Milton WV 25541 Ph: (304) 743-1407 |
NPI Number | 1548542277 |
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Provider Enumeration Date | 09/20/2011 |
Last Update Date | 07/15/2024 |
Medicare PECOS PAC ID | 9931017969 |
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Medicare Enrollment ID | O20121107000083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548542277 | NPI | - | NPPES |
3810025278 | Medicaid | WV | |
0069812 | Medicaid | OH | |
0079936 | Medicaid | WV |