| United Summit Center Inc | |
|
6 Hospital Plz Clarksburg WV 26301-9316 | |
| (304) 623-5661 | |
| (304) 623-2180 |
| Full Name | United Summit Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6 Hospital Plz, Clarksburg, West Virginia |
| Authorized Official Name and Position | Lisa Price (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3046235661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Summit Center Inc 6 Hospital Plz Clarksburg WV 26301-9316 Ph: (304) 623-5661 | United Summit Center Inc 6 Hospital Plz Clarksburg WV 26301-9316 Ph: (304) 623-5661 |
| NPI Number | 1003185687 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 05/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003185687 | NPI | - | NPPES |
| 0005239002 | Medicaid | WV | |
| 0005239001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20 (West Virginia) | Primary |
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