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1855 Hornet Hwy Burton WV 26562-7430 | |
(304) 775-4671 | |
(304) 775-4211 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1855 Hornet Hwy, Burton, West Virginia |
Authorized Official Name and Position | Rebecca J Thomas (CEO) |
Authorized Official Contact | 3044328211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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60 May Ln Ste 102 Burton WV 26562-9669 Ph: (304) 775-4671 | 1855 Hornet Hwy Burton WV 26562-7430 Ph: (304) 775-4671 |
NPI Number | 1346305315 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 08/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346305315 | NPI | - | NPPES |
0035288007 | Medicaid | WV |