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11 N Locust St Buckhannon WV 26201-4707 | |
(304) 472-1600 | |
(304) 472-6055 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 11 N Locust St, Buckhannon, West Virginia |
Authorized Official Name and Position | Brandy L Conrad Wildman (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 3046373622 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1484 Elkins WV 26241-1484 Ph: (304) 637-3622 | 11 N Locust St Buckhannon WV 26201-4707 Ph: (304) 472-1600 |
NPI Number | 1891564761 |
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Provider Enumeration Date | 12/20/2023 |
Last Update Date | 05/07/2024 |
Identifier | Type | State | Issuer |
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1891564761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34 N Kanawha St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-6699 | |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 E Victoria St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-5460 | |