| Beckley Statton School-based Clinic | |
|
401 Grey Flats Rd Beckley WV 25801-5876 | |
| (304) 461-3304 | |
| Not Available |
| Full Name | Beckley Statton School-based Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Grey Flats Rd, Beckley, West Virginia |
| Authorized Official Name and Position | Charles Hunt (CEO) |
| Authorized Official Contact | 3042528324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beckley Statton School-based Clinic 252 Rural Acres Dr. Beckley WV 25801 Ph: (304) 252-8324 | Beckley Statton School-based Clinic 401 Grey Flats Rd Beckley WV 25801-5876 Ph: (304) 461-3304 |
| NPI Number | 1750631099 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 04/15/2014 |
| Medicare PECOS PAC ID | 6608785795 |
|---|---|
| Medicare Enrollment ID | O20141212001468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750631099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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