| Family Practice Community Health | |
|
Gorman Ave. And 8th St. Elkins WV 26241-3394 | |
| (304) 335-2050 | |
| Not Available |
| Full Name | Family Practice Community Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | Gorman Ave. And 8th St., Elkins, West Virginia |
| Authorized Official Name and Position | G. Michael Hinchman (CEO) |
| Authorized Official Contact | 3043352050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Community Health Po Box 247 Mill Creek WV 26280-0247 Ph: (304) 335-2050 | Family Practice Community Health Gorman Ave. And 8th St. Elkins WV 26241-3394 Ph: (304) 335-2050 |
| NPI Number | 1639148778 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639148778 | NPI | - | NPPES |
| 420005 | Other | WV | VACCINE FOR CHILDREN |
| 5657280002 | Other | WV | HEALTH NOW DMERC/FQHC |
| 000394653 | Other | WV | BC/BS MEDICARE FQHC |
| 51D1051732 | Other | WV | CLIA |
| 3810006663 | Medicaid | WV | |
| CH3574 | Other | WV | RAILROAD MEDICARE |
| 05-5-00344 | Other | WV | WV STATE TAX BUS. LIC |
| 1025217 | Other | WV | BRICKSTREET WORKERS COMP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |
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