Boone Primary Care Clinic | |
340 State St Madison WV 25130-1365 | |
(304) 307-6618 | |
(304) 307-6619 |
Full Name | Boone Primary Care Clinic |
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Speciality | Internal Medicine |
Location | 340 State St, Madison, West Virginia |
Authorized Official Name and Position | Wenqing Long (OWNER) |
Authorized Official Contact | 3043076618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Boone Primary Care Clinic 340 State St Madison WV 25130-1365 Ph: (304) 307-6618 | Boone Primary Care Clinic 340 State St Madison WV 25130-1365 Ph: (304) 307-6618 |
NPI Number | 1578634697 |
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Provider Enumeration Date | 11/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578634697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 19477 (West Virginia) | Primary |
Ernesto T.yutiamco,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 483 Main St, Madison, WV 25130 Phone: 304-369-0221 Fax: 304-369-0222 | |
Madison Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 Main St, Suite 200, Madison, WV 25130 Phone: 304-369-5170 Fax: 304-369-0946 | |
Women Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Riverside Dr W Rm 308309, Madison, WV 25130 Phone: 304-369-4464 | |