<unavail> in Green Bank, WV - Medicare Clinic/Center

- Medicare Primary Care in Green Bank, WV

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Green Bank, West Virginia. The current practice location for is 90 Route 28, Green Bank, West Virginia. For appointments, you can reach them via phone at (304) 456-5115. The mailing address for is Po Box 217, Rock Cave, West Virginia and phone number is (304) 924-6262.

is licensed to practice in West Virginia (license number ). The clinic also participates in the medicare program and its NPI number is 1164557237. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 456-5115.

Contact Information


	90 Route 28 Green Bank WV 24944-0085
	(304) 456-5115
	(304) 456-5117

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	90 Route 28, Green Bank, West Virginia
Authorized Official Name and Position	Connie Simmons (COO CFO)
Authorized Official Contact	3049246262
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 217 Rock Cave WV 26234 Ph: (304) 924-6262	90 Route 28 Green Bank WV 24944-0085 Ph: (304) 456-5115

NPI Details:

NPI Number	1164557237
Provider Enumeration Date	02/22/2007
Last Update Date	01/25/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	0446232987
Medicare Enrollment ID	O20071018000710

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164557237	NPI	-	NPPES
3810010087	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(West Virginia)	Primary

Reviews and Comments

Clinic/Center in Green Bank, WV

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rr 1 Box 5, Green Bank, WV 24944 Phone: 304-456-4865 Fax: 304-456-5162
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Route 92, Green Bank, WV 24944 Phone: 304-456-4211 Fax: 304-456-5213