Guyan Valley Wellness Center | |
5322 Mcclellan Hwy Branchland WV 25506-8725 | |
(304) 824-5707 | |
(304) 824-5706 |
Full Name | Guyan Valley Wellness Center |
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Speciality | Clinic/Center |
Location | 5322 Mcclellan Hwy, Branchland, West Virginia |
Authorized Official Name and Position | Lisa Leach (CEO) |
Authorized Official Contact | 3048245806 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guyan Valley Wellness Center 7400 Lynn Ave Hamlin WV 25523-1138 Ph: (304) 824-5806 | Guyan Valley Wellness Center 5322 Mcclellan Hwy Branchland WV 25506-8725 Ph: (304) 824-5707 |
NPI Number | 1255521027 |
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Provider Enumeration Date | 07/27/2007 |
Last Update Date | 03/08/2023 |
Medicare PECOS PAC ID | 6204821879 |
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Medicare Enrollment ID | O20080111000489 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255521027 | NPI | - | NPPES |
3810011864 | Medicaid | WV | |
CA9760 | Other | WV | RR MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |