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1600 Medical Center Dr Ste B500 Huntington WV 25701-3656 | |
| (304) 691-1500 | |
| (304) 691-1510 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1600 Medical Center Dr, Huntington, West Virginia |
| Authorized Official Name and Position | James Schneider (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3046911602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 Medical Center Dr Ste B500 Huntington WV 25701-3656 Ph: (304) 691-1500 | 1600 Medical Center Dr Ste B500 Huntington WV 25701-3656 Ph: (304) 691-1500 |
| NPI Number | 1366446817 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366446817 | NPI | - | NPPES |
| 0711402 | Medicaid | OH | |
| 0006341000 | Medicaid | WV |
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