| Lewisburg Health Center | |
|
296 Fair St Lewisburg WV 24901-2632 | |
| (304) 438-6188 | |
| (304) 438-6819 |
| Full Name | Lewisburg Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 296 Fair St, Lewisburg, West Virginia |
| Authorized Official Name and Position | Debra J Davidson-bennett (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044386188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewisburg Health Center 176 Medical Center Dr Rainelle WV 25962-1064 Ph: (304) 438-6188 | Lewisburg Health Center 296 Fair St Lewisburg WV 24901-2632 Ph: (304) 438-6188 |
| NPI Number | 1497244412 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 05/04/2018 |
| Medicare PECOS PAC ID | 7416861810 |
|---|---|
| Medicare Enrollment ID | O20181109001193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497244412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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