| Charleston Family Health Assoc | |
|
1218 Virginia Street East Suite A Charleston WV 25301 | |
| (304) 345-8500 | |
| (304) 345-8979 |
| Full Name | Charleston Family Health Assoc |
|---|---|
| Speciality | Family Medicine |
| Location | 1218 Virginia Street East, Charleston, West Virginia |
| Authorized Official Name and Position | Debra Lynn Fr (MANAGER) |
| Authorized Official Contact | 3043458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Family Health Assoc 1218 Virginia Street East Suite A Charleston WV 25301 Ph: (304) 345-8500 | Charleston Family Health Assoc 1218 Virginia Street East Suite A Charleston WV 25301 Ph: (304) 345-8500 |
| NPI Number | 1891886636 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891886636 | NPI | - | NPPES |
| 0011206000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17020 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 17129 (West Virginia) | Primary |
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