Coalfield Health Center | |
384 Airport Road Chapmanville WV 25508 | |
(304) 855-1200 | |
(304) 855-1230 |
Full Name | Coalfield Health Center |
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Speciality | Family Medicine |
Location | 384 Airport Road, Chapmanville, West Virginia |
Authorized Official Name and Position | Kristin Dial (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3048551200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coalfield Health Center Po Box 4013 Chapmanville WV 25508 Ph: (304) 855-1200 | Coalfield Health Center 384 Airport Road Chapmanville WV 25508 Ph: (304) 855-1200 |
NPI Number | 1184206161 |
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Provider Enumeration Date | 04/28/2021 |
Last Update Date | 03/11/2022 |
Certification Date | 03/11/2022 |
Medicare PECOS PAC ID | 2668528746 |
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Medicare Enrollment ID | O20221110002793 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184206161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Coalfield Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 386 Airport Road, Chapmanville, WV 25508 Phone: 304-855-1200 Fax: 304-855-1230 | |
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