| Glenville State College | |
|
200 High St Glenville WV 26351-1200 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Glenville State College |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 200 High St, Glenville, West Virginia |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenville State College 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: () - | Glenville State College 200 High St Glenville WV 26351-1200 Ph: (972) 367-4845 |
| NPI Number | 1043850191 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 01/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043850191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
Glenville Office - Medicare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 376 Wv Hwy 5 E, Suite 101, Glenville, WV 26351 Phone: 304-462-7322 | |
Little Kanawha Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 W Main St, Glenville, WV 26351 Phone: 304-462-7460 Fax: 304-462-7461 | |
Gilmer Office - Medicare - Fqhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Mineral Rd Ste 1, Glenville, WV 26351 Phone: 304-354-9244 Fax: 304-354-9323 | |
Glenville State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 High St, Glenville, WV 26351 Phone: 304-462-6223 |