Bluestone Primary Care | |
106 Thorn St Princeton WV 24740-3560 | |
(681) 282-5609 | |
(304) 936-6157 |
Full Name | Bluestone Primary Care |
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Speciality | Clinic/Center |
Location | 106 Thorn St, Princeton, West Virginia |
Authorized Official Name and Position | Linda Hutchens (CEO) |
Authorized Official Contact | 3044313410 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bluestone Primary Care 3997 Beckley Rd Princeton WV 24740-7660 Ph: (304) 431-5499 | Bluestone Primary Care 106 Thorn St Princeton WV 24740-3560 Ph: (681) 282-5609 |
NPI Number | 1003453317 |
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Provider Enumeration Date | 12/05/2019 |
Last Update Date | 02/24/2021 |
Medicare PECOS PAC ID | 3577505221 |
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Medicare Enrollment ID | O20201029003115 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003453317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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