Hospital Development Co | |
200 Hospital Dr Spencer WV 25276-1050 | |
(304) 927-6819 | |
(304) 927-6837 |
Full Name | Hospital Development Co |
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Speciality | Clinic/Center |
Location | 200 Hospital Dr, Spencer, West Virginia |
Authorized Official Name and Position | Doug Bentz (CEO) |
Authorized Official Contact | 3049276200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hospital Development Co 200 Hospital Dr Spencer WV 25276-1050 Ph: (304) 927-6819 | Hospital Development Co 200 Hospital Dr Spencer WV 25276-1050 Ph: (304) 927-6819 |
NPI Number | 1790745172 |
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Provider Enumeration Date | 03/28/2006 |
Last Update Date | 01/16/2018 |
Medicare PECOS PAC ID | 4183527476 |
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Medicare Enrollment ID | O20180412000319 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790745172 | NPI | - | NPPES |
0123058001 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 74 (West Virginia) | Primary |
Provider Name | Katherine Rose V Tigas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124209994 PECOS PAC ID: 5395928345 Enrollment ID: I20110329000312 |
Roane County Family Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Williams Dr, Spencer, WV 25276 Phone: 304-927-1495 Fax: 304-927-8198 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Main St, Spencer, WV 25276 Phone: 304-927-7775 Fax: 304-927-7774 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Main St, Spencer, WV 25276 Phone: 304-927-7775 Fax: 304-927-7774 | |
Roane County Family Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 146 Williams Dr, Spencer, WV 25276 Phone: 304-927-1495 Fax: 304-927-5813 | |
Roane General Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6819 Fax: 304-927-6837 |