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302 Columbia St West Union WV 26456-1108 | |
(304) 873-2590 | |
(304) 873-1792 |
Full Name | |
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Speciality | Family Medicine |
Location | 302 Columbia St, West Union, West Virginia |
Authorized Official Name and Position | John C Forester (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3046244655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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686 S Pike St Ste A Shinnston WV 26431-1043 Ph: (304) 624-4655 | 302 Columbia St West Union WV 26456-1108 Ph: (304) 873-2590 |
NPI Number | 1780752709 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 04/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780752709 | NPI | - | NPPES |
3810022426 | Medicaid | WV |