Full Name | |
---|---|
Speciality | Family Medicine |
Location | 626 Elk St, Gassaway, 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 |
---|---|
686 S Pike St Ste A Shinnston WV 26431-1043 Ph: (304) 624-4655 | 626 Elk St Gassaway WV 26624-1136 Ph: (304) 364-2401 |
NPI Number | 1548338536 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 01/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548338536 | NPI | - | NPPES |
0008279000 | Medicaid | WV |
Braxton Health Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 River St, Gassaway, WV 26624 Phone: 304-364-8941 Fax: 304-364-8943 | |