| Board Of Child Care Of The United Methodist Church, Inc | |
|
27 Campolina Way Martinsburg WV 25404-1105 | |
| (304) 267-8863 | |
| (304) 267-8916 |
| Full Name | Board Of Child Care Of The United Methodist Church, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 27 Campolina Way, Martinsburg, West Virginia |
| Authorized Official Name and Position | James Edward Buckey (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4109222100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Board Of Child Care Of The United Methodist Church, Inc 3300 Gaither Rd Baltimore MD 21244-2916 Ph: (410) 922-2100 | Board Of Child Care Of The United Methodist Church, Inc 27 Campolina Way Martinsburg WV 25404-1105 Ph: (304) 267-8863 |
| NPI Number | 1760887459 |
|---|---|
| Provider Enumeration Date | 10/24/2014 |
| Last Update Date | 10/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760887459 | NPI | - | NPPES |
| 3810026072 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 13GR7 (West Virginia) | Primary |
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