| Bluewell Family Clinic | |
|
154 Majestic Place Bluefield WV 24701 | |
| (304) 589-4377 | |
| (304) 589-4389 |
| Full Name | Bluewell Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 154 Majestic Place, Bluefield, West Virginia |
| Authorized Official Name and Position | Diane Lynn Spencer (VP OF FINANCE) |
| Authorized Official Contact | 3044877505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluewell Family Clinic Po Box 1369 Princeton WV 24740-1369 Ph: (304) 487-7451 | Bluewell Family Clinic 154 Majestic Place Bluefield WV 24701 Ph: (304) 589-4377 |
| NPI Number | 1972810125 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 05/10/2022 |
| Medicare PECOS PAC ID | 3678482221 |
|---|---|
| Medicare Enrollment ID | O20220611000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972810125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (West Virginia) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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