Alderson Medical Center | |
101 Railroad Avenue Alderson WV 24910-0740 | |
(304) 438-6188 | |
(304) 438-6819 |
Full Name | Alderson Medical Center |
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Speciality | Clinic/Center |
Location | 101 Railroad Avenue, Alderson, West Virginia |
Authorized Official Name and Position | Kristi M Atha-rader (CEO) |
Authorized Official Contact | 3044386188 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alderson Medical Center 645 Kanawha Ave Rainelle WV 25962-1013 Ph: (304) 438-6188 | Alderson Medical Center 101 Railroad Avenue Alderson WV 24910-0740 Ph: (304) 438-6188 |
NPI Number | 1740589746 |
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Provider Enumeration Date | 03/17/2011 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 7416861810 |
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Medicare Enrollment ID | O20120328000326 |
Identifier | Type | State | Issuer |
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1740589746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |