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46 Red Oak Dr Craigsville WV 26205-3102 | |
(304) 742-5999 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 46 Red Oak Dr, Craigsville, West Virginia |
Authorized Official Name and Position | Margaret Hickey (CEO) |
Authorized Official Contact | 3042265725 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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46 Red Oak Dr Craigsville WV 26205-3102 Ph: (304) 742-5999 | 46 Red Oak Dr Craigsville WV 26205-3102 Ph: (304) 742-5999 |
NPI Number | 1215394648 |
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Provider Enumeration Date | 01/15/2016 |
Last Update Date | 12/10/2021 |
Medicare PECOS PAC ID | 6002867850 |
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Medicare Enrollment ID | O20160310001831 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215394648 | NPI | - | NPPES |
1215394648-001 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dr Jessica Carter Murphy Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 72 Red Oak Drive, Craigsville, WV 26205 Phone: 304-742-5200 Fax: 304-742-5214 | |
Camden On Gauley Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Milam Addition Rd, Craigsville, WV 26205 Phone: 304-226-5725 Fax: 304-226-3274 |