| Good Shepherd First | |
|
1230 Garfield Ave Parkersburg WV 26102 | |
| (304) 422-3999 | |
| (304) 422-1454 |
| Full Name | Good Shepherd First |
|---|---|
| Speciality | Family Medicine |
| Location | 1230 Garfield Ave, Parkersburg, West Virginia |
| Authorized Official Name and Position | Joel David Shiffler (PHYSICIAN MEDICAL DIRECTOR) |
| Authorized Official Contact | 3044223999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd First Po Box 4370 1230 Garfield Parkersburg WV 26102 Ph: (304) 422-3999 | Good Shepherd First 1230 Garfield Ave Parkersburg WV 26102 Ph: (304) 422-3999 |
| NPI Number | 1609901834 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609901834 | NPI | - | NPPES |
| 5630264001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20094WV (West Virginia) | Primary |
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