| Clendenin Health Center Lab | |
|
107 Koontz Ave Ste 200 Clendenin WV 25045-9581 | |
| (304) 734-2040 | |
| (301) 734-2047 |
| Full Name | Clendenin Health Center Lab |
|---|---|
| Speciality | Family Medicine |
| Location | 107 Koontz Ave Ste 200, Clendenin, West Virginia |
| Authorized Official Name and Position | Jennifer Russell (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 3047342040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clendenin Health Center Lab Po Box 70 Dawes WV 25054-0070 Ph: (304) 734-2040 | Clendenin Health Center Lab 107 Koontz Ave Ste 200 Clendenin WV 25045-9581 Ph: (304) 734-2040 |
| NPI Number | 1407259062 |
|---|---|
| Provider Enumeration Date | 09/26/2014 |
| Last Update Date | 09/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407259062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Riverview Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Koontz Ave, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 | |
Clendenin Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave., Suite 200, Clendenin, WV 25045 Phone: 304-548-4900 |