| Carruth Center-ssc | |
|
700 College Avenue 3rd Floor Morgantown WV 26506-6422 | |
| (304) 293-4431 | |
| Not Available |
| Full Name | Carruth Center-ssc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 700 College Avenue, Morgantown, West Virginia |
| Authorized Official Name and Position | Andrea Rumble (PROVIDER ENROLLMENT SPECIALISTQ) |
| Authorized Official Contact | 3042935033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carruth Center-ssc Po Box 780 Morgantown WV 26507-0780 Ph: (304) 293-7401 | Carruth Center-ssc 700 College Avenue 3rd Floor Morgantown WV 26506-6422 Ph: (304) 293-4431 |
| NPI Number | 1700166659 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700166659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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