Foundations Services Llc | |
800 Garfield Ave Parkersburg WV 26101-5340 | |
(304) 422-3904 | |
(304) 422-3924 |
Full Name | Foundations Services Llc |
---|---|
Speciality | Internal Medicine |
Location | 800 Garfield Ave, Parkersburg, West Virginia |
Authorized Official Name and Position | Joan Allman (OWNER) |
Authorized Official Contact | 3046151130 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Foundations Services Llc 601 Avery St Ste 501 Parkersburg WV 26101-5192 Ph: (304) 422-3904 | Foundations Services Llc 800 Garfield Ave Parkersburg WV 26101-5340 Ph: (304) 422-3904 |
NPI Number | 1548627888 |
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Provider Enumeration Date | 01/18/2016 |
Last Update Date | 01/12/2024 |
Medicare PECOS PAC ID | 2365748902 |
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Medicare Enrollment ID | O20160309000033 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548627888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1487 (West Virginia) | Primary |
Provider Name | Joan R Allman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457313850 PECOS PAC ID: 9739141540 Enrollment ID: I20080205000218 |
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