Chua Family Practice, Pllc | |
1092 Harrison Ave Elkins WV 26241-3671 | |
(304) 637-0433 | |
(304) 637-0435 |
Full Name | Chua Family Practice, Pllc |
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Speciality | Family Medicine |
Location | 1092 Harrison Ave, Elkins, West Virginia |
Authorized Official Name and Position | Connie M Brown (OFFICE MANAGER) |
Authorized Official Contact | 3046370433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chua Family Practice, Pllc Po Box 490 Elkins WV 26241-0490 Ph: (304) 637-0433 | Chua Family Practice, Pllc 1092 Harrison Ave Elkins WV 26241-3671 Ph: (304) 637-0433 |
NPI Number | 1700948239 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700948239 | NPI | - | NPPES |
3810004769 | Medicaid | WV | |
P00012945 | Other | WV | RR MEDICARE |
P00118111 | Other | WV | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | WV1833 (West Virginia) | Secondary |
207Q00000X | Family Medicine | WV1965 (West Virginia) | Primary |
West Virginia Gastroenterology & Endoscopy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Main St, Elkins, WV 26241 Phone: 304-637-2360 Fax: 304-637-2362 | |
Valley Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Robert E Lee Ave, Elkins, WV 26241 Phone: 304-335-2050 | |