| |
1616 13th Ave, Suite 2b, Huntington, WV 25701-3840 | |
(304) 697-0393 | |
(304) 697-0395 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 1616 13th Ave, Huntington, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003810557 | NPI | - | NPPES |
0393766 | Medicaid | OH | |
0009196000 | Medicaid | WV | |
65902892 | Medicaid | KY | |
77903904 | Medicaid | KY |
Mailing Address | Practice Location Address |
---|---|
1616 13th Ave, Suite 2b, Huntington, WV 25701-3840 Ph: (304) 697-0393 | 1616 13th Ave, Suite 2b, Huntington, WV 25701-3840 Ph: (304) 697-0393 |