| Bridgeport Physicians Care | |
|
1511 Johnson Ave Ste 104 Bridgeport WV 26330-1016 | |
| (304) 848-0702 | |
| (304) 848-0705 |
| Full Name | Bridgeport Physicians Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1511 Johnson Ave, Bridgeport, West Virginia |
| Authorized Official Name and Position | John C Forester (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3046244655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport Physicians Care 686 South Pike St Ste A Shinnston WV 26431-1043 Ph: (304) 624-4655 | Bridgeport Physicians Care 1511 Johnson Ave Ste 104 Bridgeport WV 26330-1016 Ph: (304) 848-0702 |
| NPI Number | 1619176302 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 01/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619176302 | NPI | - | NPPES |
| 3810009401 | Medicaid | WV |
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Bridgeport Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Johnson Ave, Suite 1100, Bridgeport, WV 26330 Phone: 304-848-0338 | |
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