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300b Prestige Park Dr Hurricane WV 25526-8419 | |
| (304) 757-3368 | |
| (304) 757-2402 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 300b Prestige Park Dr, Hurricane, West Virginia |
| Authorized Official Name and Position | John Patrick Maccallum (PHYSICIAN) |
| Authorized Official Contact | 3047573368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300b Prestige Park Dr Hurricane WV 25526-8419 Ph: (304) 757-3368 | 300b Prestige Park Dr Hurricane WV 25526-8419 Ph: (304) 757-3368 |
| NPI Number | 1992923734 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992923734 | NPI | - | NPPES |
| 001710972 | Other | WV | BLUE CROSS BLUE SHIELD |
| 0116818000 | Medicaid | WV |
Beaconlight Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Highlands Rd, Hurricane, WV 25526 Phone: 304-444-7315 | |
Appalachian Community Disability Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3751 Teays Valley Rd, Suite A, Hurricane, WV 25526 Phone: 304-302-2078 Fax: 304-302-7260 |