| Capon Bridge Elementary School | |
|
99 Capon School St Capon Bridge WV 26711-9059 | |
| (304) 897-5915 | |
| Not Available |
| Full Name | Capon Bridge Elementary School |
|---|---|
| Speciality | Clinic/Center |
| Location | 99 Capon School St, Capon Bridge, West Virginia |
| Authorized Official Name and Position | Meredith Michelle Heishman (CREDENTIALING) |
| Authorized Official Contact | 3048975915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capon Bridge Elementary School Po Box 97 Baker WV 26801-0097 Ph: (304) 897-5915 | Capon Bridge Elementary School 99 Capon School St Capon Bridge WV 26711-9059 Ph: (304) 897-5915 |
| NPI Number | 1851065593 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 09/15/2021 |
| Medicare PECOS PAC ID | 6204728041 |
|---|---|
| Medicare Enrollment ID | O20211220002456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851065593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Doctors Urgent Care And Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hc 61 Box 306, Capon Bridge, WV 26711 Phone: 304-856-2600 Fax: 304-856-2604 | |
Capon Bridge Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Capon School St, Capon Bridge, WV 26711 Phone: 304-897-5915 |