| Clay-battelle Community Health Center | |
|
5861 Mason Dixon Hwy Blacksville WV 26521 | |
| (304) 432-8211 | |
| (304) 432-8213 |
| Full Name | Clay-battelle Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5861 Mason Dixon Hwy, Blacksville, West Virginia |
| Authorized Official Name and Position | Rebecca J Thomas (CEO) |
| Authorized Official Contact | 3044328211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay-battelle Community Health Center Po Box 72 Blacksville WV 26521-0072 Ph: (304) 432-8211 | Clay-battelle Community Health Center 5861 Mason Dixon Hwy Blacksville WV 26521 Ph: (304) 432-8211 |
| NPI Number | 1699830752 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/25/2021 |
| Medicare PECOS PAC ID | 3870495815 |
|---|---|
| Medicare Enrollment ID | O20100908000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699830752 | NPI | - | NPPES |
| 0035288000 | Medicaid | WV | |
| CN0274 | Other | RAILROAD MEDICARE | |
| CN0274 | Other | WV | RR MC |
| 001709531 | Other | WV | MS BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Clay-battelle Community Health Center Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5861 Mason Dixon Hwy, Blacksville, WV 26521 Phone: 304-432-8211 Fax: 304-432-8213 |