| Bradshaw Medical Clinic | |
|
9981 Marshall Highway Bradshaw WV 24817 | |
| (304) 967-5034 | |
| (304) 906-2417 |
| Full Name | Bradshaw Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 9981 Marshall Highway, Bradshaw, West Virginia |
| Authorized Official Name and Position | Mahesh B Patel (OWNER) |
| Authorized Official Contact | 3049675034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradshaw Medical Clinic Po Box 240 Bradshaw WV 24817-0240 Ph: (304) 967-5034 | Bradshaw Medical Clinic 9981 Marshall Highway Bradshaw WV 24817 Ph: (304) 967-5034 |
| NPI Number | 1912963869 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 03/31/2017 |
| Medicare PECOS PAC ID | 4082523501 |
|---|---|
| Medicare Enrollment ID | O20100602000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912963869 | NPI | - | NPPES |
| 0034884000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Tug River/river View Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512 Mountaineer Highway, Room 1344, Bradshaw, WV 24817 Phone: 304-967-7682 Fax: 304-967-7684 |