| Faith Family Helalth | |
|
617 Mercer St Princeton WV 24740-3111 | |
| (304) 887-3530 | |
| Not Available |
| Full Name | Faith Family Helalth |
|---|---|
| Speciality | Clinic/Center |
| Location | 617 Mercer St, Princeton, West Virginia |
| Authorized Official Name and Position | Mary S Curry (MANAGING MEMBER) |
| Authorized Official Contact | 3048873530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Family Helalth 609 Mercer St Princeton WV 24740-3111 Ph: (304) 887-3530 | Faith Family Helalth 617 Mercer St Princeton WV 24740-3111 Ph: (304) 887-3530 |
| NPI Number | 1104468842 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 04/18/2024 |
| Medicare PECOS PAC ID | 4587092531 |
|---|---|
| Medicare Enrollment ID | O20200325001523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104468842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mary S Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427500461 PECOS PAC ID: 1456618602 Enrollment ID: I20171127002195 |
| Provider Name | Carol Suzanne Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255801312 PECOS PAC ID: 3274870787 Enrollment ID: I20190122002493 |
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