| Adamston Elementary School Wellness Center | |
|
591 Kappa Sigma Pi Dr Clarksburg WV 26301-7674 | |
| (304) 473-5600 | |
| (304) 472-1341 |
| Full Name | Adamston Elementary School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 591 Kappa Sigma Pi Dr, Clarksburg, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING) |
| Authorized Official Contact | 3045872541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adamston Elementary School Wellness Center 591 Kappa Sigma Pi Dr Clarksburg WV 26301-7674 Ph: (304) 473-5600 | Adamston Elementary School Wellness Center 591 Kappa Sigma Pi Dr Clarksburg WV 26301-7674 Ph: (304) 473-5600 |
| NPI Number | 1851787121 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20150526002352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851787121 | NPI | - | NPPES |
| 2306-6736 | Other | WV | BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Care Of Clarksburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-924-6262 Fax: 304-924-5460 | |
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