| Youth Health Service Inc | |
|
971 Harrison Avenue Youth Health Service Inc Elkins WV 26241 | |
| (304) 636-9450 | |
| (304) 636-2282 |
| Full Name | Youth Health Service Inc |
|---|---|
| Speciality | Social Worker |
| Location | 971 Harrison Avenue, Elkins, West Virginia |
| Authorized Official Name and Position | Barbara Kay Koon (BILLING CLERK) |
| Authorized Official Contact | 3046369450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Health Service Inc 971 Harrison Avenue Youth Health Service Inc Elkins WV 26241 Ph: (304) 636-9450 | Youth Health Service Inc 971 Harrison Avenue Youth Health Service Inc Elkins WV 26241 Ph: (304) 636-9450 |
| NPI Number | 1366799561 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366799561 | NPI | - | NPPES |
| 0023397001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | BP00944009 (West Virginia) | Primary |
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