Duval Middle School Health Center | |
5304 Straight Fork Road Griffithsville WV 25521-9504 | |
(304) 524-9242 | |
(304) 524-9241 |
Full Name | Duval Middle School Health Center |
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Speciality | Clinic/Center |
Location | 5304 Straight Fork Road, Griffithsville, West Virginia |
Authorized Official Name and Position | Lisa Leach (CEO) |
Authorized Official Contact | 3048245806 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Duval Middle School Health Center 7400 Lynn Avenue Hamlin WV 25523-1138 Ph: (304) 824-5806 | Duval Middle School Health Center 5304 Straight Fork Road Griffithsville WV 25521-9504 Ph: (304) 524-9242 |
NPI Number | 1457541229 |
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Provider Enumeration Date | 07/27/2007 |
Last Update Date | 03/08/2023 |
Medicare PECOS PAC ID | 6204821879 |
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Medicare Enrollment ID | O20060908000461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457541229 | NPI | - | NPPES |
CA9760 | Other | WV | MEDICARE RR |
3810011411 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |