Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 71 Avenue A, Richwood, West Virginia |
Authorized Official Name and Position | Marget 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 |
---|---|
71 Avenue A Richwood WV 26261-1204 Ph: (304) 846-2608 | 71 Avenue A Richwood WV 26261-1204 Ph: (304) 846-2608 |
NPI Number | 1811420250 |
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Provider Enumeration Date | 04/04/2017 |
Last Update Date | 01/17/2023 |
Medicare PECOS PAC ID | 6002867850 |
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Medicare Enrollment ID | O20170518002408 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811420250 | NPI | - | NPPES |
1811420250 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Richwood Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Ave B, Richwood, WV 26261 Phone: 304-872-8434 Fax: 304-872-8417 | |
Richwood Area Community Hospitl Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Avenue B, Richwood, WV 26261 Phone: 304-846-2573 Fax: 304-846-9562 | |