Brandywine Elementary School Sbhc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Brandywine, West Virginia. The current practice location for Brandywine Elementary School Sbhc is 11480 Blue Gray Trail, Brandywine, West Virginia. For appointments, you can reach them via phone at
(304) 249-5381. The mailing address for Brandywine Elementary School Sbhc is Po Box 100, Franklin, West Virginia and phone number is (304) 358-2355.
Brandywine Elementary School Sbhc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1912314667. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(304) 249-5381.
Primary Care Clinic Profile
| Full Name | Brandywine Elementary School Sbhc |
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| Speciality | Clinic/Center |
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| Location | 11480 Blue Gray Trail, Brandywine, West Virginia |
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| Authorized Official Name and Position | Jamie Hudson (CEO) |
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| Authorized Official Contact | 3043582355 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Brandywine Elementary School Sbhc
Po Box 100
Franklin
WV 26807-0100
Ph: (304) 358-2355 | Brandywine Elementary School Sbhc
11480 Blue Gray Trail
Brandywine
WV 26802-0247
Ph: (304) 249-5381 |
NPI Details:
| NPI Number | 1912314667 |
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| Provider Enumeration Date | 07/15/2014 |
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| Last Update Date | 07/19/2016 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3678470614 |
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| Medicare Enrollment ID | O20141205001026 |
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Medical Identifiers
Medical identifiers for Brandywine Elementary School Sbhc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912314667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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