| Fayetteville Pk-8 School Based Health Center | |
|
515 W Maple Ave Fayetteville WV 25840-1419 | |
| (304) 469-2905 | |
| (304) 469-2981 |
| Full Name | Fayetteville Pk-8 School Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 515 W Maple Ave, Fayetteville, West Virginia |
| Authorized Official Name and Position | Marissa Johnson (CREDENTIALING OFFICER) |
| Authorized Official Contact | 3044692905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Pk-8 School Based Health Center 497 Mall Rd Oak Hill WV 25901-6216 Ph: (304) 469-2905 | Fayetteville Pk-8 School Based Health Center 515 W Maple Ave Fayetteville WV 25840-1419 Ph: (304) 469-2905 |
| NPI Number | 1003301912 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 2365348596 |
|---|---|
| Medicare Enrollment ID | O20200302002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003301912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |
Community Health Systems Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5493 Maple Ln, Fayetteville, WV 25840 Phone: 304-469-3334 Fax: 304-465-1735 | |
New River Health - North Fayette Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Maple Ave, Fayetteville, WV 25840 Phone: 304-574-3960 Fax: 304-574-2179 | |
Five Oaks Family Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 3 Box 458e, Fayetteville, WV 25840 Phone: 304-574-1888 Fax: 304-574-1891 | |
Vitality Aesthetics And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 W Maple Ave, Fayetteville, WV 25840 Phone: 304-574-9876 | |
Family Medical Kare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 Elizabeth Hwy, Fayetteville, WV 25840 Phone: 304-574-2600 Fax: 304-574-2951 | |
Fayette County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Church St, Fayetteville, WV 25840 Phone: 304-574-1617 Fax: 304-574-1370 |