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100 Florence Street Ansted WV 25812 | |
(304) 883-0220 | |
(304) 872-8417 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 100 Florence Street, Ansted, West Virginia |
Authorized Official Name and Position | Mark Lovell (CFO) |
Authorized Official Contact | 3048722891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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400 Fairview Heights Rd Summersville WV 26651-9308 Ph: (304) 883-0220 | 100 Florence Street Ansted WV 25812 Ph: (304) 883-0220 |
NPI Number | 1588039242 |
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Provider Enumeration Date | 12/07/2015 |
Last Update Date | 12/07/2015 |
Identifier | Type | State | Issuer |
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1588039242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (West Virginia) | Primary |