| Familycare Health Center | |
|
300 Roosevelt Blvd Eleanor WV 25070-0000 | |
| (304) 380-7728 | |
| (304) 586-1301 |
| Full Name | Familycare Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 300 Roosevelt Blvd, Eleanor, West Virginia |
| Authorized Official Name and Position | Julie Dianne Ray (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3047576999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familycare Health Center 301 Great Teays Blvd Ste 6 Scott Depot WV 25560-9552 Ph: (304) 757-6999 | Familycare Health Center 300 Roosevelt Blvd Eleanor WV 25070-0000 Ph: (304) 380-7728 |
| NPI Number | 1457783367 |
|---|---|
| Provider Enumeration Date | 08/01/2013 |
| Last Update Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457783367 | NPI | - | NPPES |
| 511022 | Other | PART A PTAN | |
| D204 | Other | PART B PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Womencare, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 Roosevelt Blvd, Eleanor, WV 25070 Phone: 304-757-6999 Fax: 304-757-3252 |