| Community Care Pediatrics Of Buckhannon | |
|
4 Northridge Dr Ste 118 Buckhannon WV 26201-8484 | |
| (304) 473-5660 | |
| (304) 473-5661 |
| Full Name | Community Care Pediatrics Of Buckhannon |
|---|---|
| Speciality | Clinic/Center |
| Location | 4 Northridge Dr Ste 118, Buckhannon, West Virginia |
| Authorized Official Name and Position | Richard G Simon (CEO) |
| Authorized Official Contact | 3045450571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Pediatrics Of Buckhannon 4 Northridge Dr Ste 118 Buckhannon WV 26201-8484 Ph: (304) 473-5660 | Community Care Pediatrics Of Buckhannon 4 Northridge Dr Ste 118 Buckhannon WV 26201-8484 Ph: (304) 473-5660 |
| NPI Number | 1255507810 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20080528000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255507810 | NPI | - | NPPES |
| 1255507810 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34 N Kanawha St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-6699 | |
Buckhannon-upshur High School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Bu Dr, Buckhannon, WV 26201 Phone: 304-472-3720 Fax: 304-472-0772 | |
Carexpress Of Buckhannon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 W Main St, Buckhannon, WV 26201 Phone: 304-473-5600 Fax: 304-472-1341 | |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 E Victoria St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-5460 | |
St. Joseph's Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Amalia Dr, Suite B-1, Buckhannon, WV 26201 Phone: 304-473-2200 Fax: 304-473-2057 | |
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