| Hudak Family Medicine, Pllc | |
|
5187 Us Route 60 Ste 5 Huntington WV 25705-2076 | |
| (304) 733-5990 | |
| (304) 733-5991 |
| Full Name | Hudak Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5187 Us Route 60 Ste 5, Huntington, West Virginia |
| Authorized Official Name and Position | Jason A Hudak (OWNER) |
| Authorized Official Contact | 3047335990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudak Family Medicine, Pllc 5187 Us Route 60 Ste 5 Huntington WV 25705-2076 Ph: (304) 733-5990 | Hudak Family Medicine, Pllc 5187 Us Route 60 Ste 5 Huntington WV 25705-2076 Ph: (304) 733-5990 |
| NPI Number | 1508162702 |
|---|---|
| Provider Enumeration Date | 02/04/2011 |
| Last Update Date | 03/26/2021 |
| Medicare PECOS PAC ID | 8527249721 |
|---|---|
| Medicare Enrollment ID | O20110222000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508162702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 22791 (West Virginia) | Primary |
| Provider Name | Jason A Hudak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740494558 PECOS PAC ID: 7911091038 Enrollment ID: I20070920000439 |
| Provider Name | Lyndsey D Friley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073912531 PECOS PAC ID: 6800118084 Enrollment ID: I20141124002004 |
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