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306 Stanaford Road Beckley WV 25801 | |
| (304) 255-3000 | |
| (304) 254-2786 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 306 Stanaford Road, Beckley, West Virginia |
| Authorized Official Name and Position | Hollie Harris (PRESIDENT AND CEO) |
| Authorized Official Contact | 8592262511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
306 Stanaford Road Beckley WV 25801 Ph: (304) 255-3000 | 306 Stanaford Road Beckley WV 25801 Ph: (304) 255-3000 |
| NPI Number | 1790747780 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 0840107835 |
|---|---|
| Medicare Enrollment ID | O20070807000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790747780 | NPI | - | NPPES |
| 0001092001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 45 (West Virginia) | Primary |
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