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832 Cook Parkway Oceana WV 24870-1930 | |
(304) 682-7100 | |
(304) 682-7400 |
Full Name | |
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Speciality | Physical Therapist |
Location | 832 Cook Parkway, Oceana, West Virginia |
Authorized Official Name and Position | Kary Phelps (VP OF CORPORATE SERVICES) |
Authorized Official Contact | 7403739446 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Corner Harding & Rt 10 Cook Parkway Po Box 1930 Oceana WV 24870-1930 Ph: (304) 682-7100 | 832 Cook Parkway Oceana WV 24870-1930 Ph: (304) 682-7100 |
NPI Number | 1902913866 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 08/31/2020 |
Certification Date | 08/27/2020 |
Medicare PECOS PAC ID | 1052221652 |
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Medicare Enrollment ID | O20030513000024 |
Identifier | Type | State | Issuer |
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1902913866 | NPI | - | NPPES |
0203236000 | Medicaid | WV |