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226 Market Street New Castle VA 24127-0370 | |
| (540) 864-6390 | |
| (540) 864-6356 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 226 Market Street, New Castle, Virginia |
| Authorized Official Name and Position | Rebekah L Stone (CFO) |
| Authorized Official Contact | 3047723064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 590 200 Health Center Drive Union WV 24983 Ph: (304) 772-3064 | 226 Market Street New Castle VA 24127-0370 Ph: (540) 864-6390 |
| NPI Number | 1851585046 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 01/21/2019 |
| Medicare PECOS PAC ID | 3173432671 |
|---|---|
| Medicare Enrollment ID | O20080108000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851585046 | NPI | - | NPPES |
| 1851585046 | Medicaid | VA | |
| VAA104451 | Other | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Virginia) | Primary |
Craig County Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Market Street, New Castle, VA 24127 Phone: 540-864-5556 Fax: 540-864-5558 |