<unavail> in Bridgeport, WV - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Bridgeport, West Virginia. The current practice location for is 515 Johnston Avenue, Bridgeport, West Virginia. For appointments, you can reach them via phone at (304) 326-7137. The mailing address for is Po Box 147, Clay, West Virginia and phone number is (304) 587-2541.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326434846. 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) 326-7137.

Contact Information


	515 Johnston Avenue Bridgeport WV 26330-1311
	(304) 326-7137
	(304) 587-2594

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	515 Johnston Avenue, Bridgeport, West Virginia
Authorized Official Name and Position	Dora L Potasnik (CREDENTIALING)
Authorized Official Contact	3045872541
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 147 Clay WV 25043-0147 Ph: (304) 587-2541	515 Johnston Avenue Bridgeport WV 26330-1311 Ph: (304) 326-7137

NPI Details:

NPI Number	1326434846
Provider Enumeration Date	04/10/2015
Last Update Date	04/10/2015

Medicare PECOS Information:

Medicare PECOS PAC ID	0446232987
Medicare Enrollment ID	O20150528000266

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326434846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Bridgeport, WV

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- Medicare Primary Care in Bridgeport, WV