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101 College Hill Dr Philippi WV 26416-4600 | |
(304) 823-2800 | |
(304) 823-2703 |
Full Name | |
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Speciality | Clinic/Center |
Location | 101 College Hill Dr, Philippi, West Virginia |
Authorized Official Name and Position | Eric A Ruf (CEO) |
Authorized Official Contact | 3048231333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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70 N Sturmer St Belington WV 26250-7403 Ph: (304) 823-2800 | 101 College Hill Dr Philippi WV 26416-4600 Ph: (304) 823-2800 |
NPI Number | 1326573346 |
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Provider Enumeration Date | 04/27/2017 |
Last Update Date | 01/13/2022 |
Medicare PECOS PAC ID | 9335171834 |
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Medicare Enrollment ID | O20170817000773 |
Identifier | Type | State | Issuer |
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1326573346 | NPI | - | NPPES |
PENDING | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |