Valley Health-woodruff & Gonzales Dental | |
1319 Hal Greer Blvd Huntington WV 25701-3803 | |
(304) 529-6060 | |
(304) 529-6062 |
Full Name | Valley Health-woodruff & Gonzales Dental |
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Speciality | Clinic/Center |
Location | 1319 Hal Greer Blvd, Huntington, West Virginia |
Authorized Official Name and Position | Mary-beth N. Brubeck (VP 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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Valley Health-woodruff & Gonzales Dental Po Box 1680 Huntington WV 25717-1680 Ph: (304) 781-5159 | Valley Health-woodruff & Gonzales Dental 1319 Hal Greer Blvd Huntington WV 25701-3803 Ph: (304) 529-6060 |
NPI Number | 1477216919 |
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Provider Enumeration Date | 10/21/2021 |
Last Update Date | 10/26/2021 |
Medicare PECOS PAC ID | 9931017969 |
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Medicare Enrollment ID | O20211218000169 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477216919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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