| Little Kanawha Family Medicine Pllc | |
|
604 W Main St Glenville WV 26351 | |
| (304) 462-7460 | |
| (304) 462-7461 |
| Full Name | Little Kanawha Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 604 W Main St, Glenville, West Virginia |
| Authorized Official Name and Position | Hillary D Miller (OWNER PHYSICIAN) |
| Authorized Official Contact | 3044627460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Kanawha Family Medicine Pllc 604 W Main St Glenville WV 26351 Ph: (304) 462-7460 | Little Kanawha Family Medicine Pllc 604 W Main St Glenville WV 26351 Ph: (304) 462-7460 |
| NPI Number | 1295770600 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335181759 |
|---|---|
| Medicare Enrollment ID | O20050525001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295770600 | NPI | - | NPPES |
| 3810002135 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1999 (West Virginia) | Primary |
| Provider Name | Hilary Dawn Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366479297 PECOS PAC ID: 7012979107 Enrollment ID: I20041101000672 |
| Provider Name | Eddie E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154360634 PECOS PAC ID: 7214999317 Enrollment ID: I20041101000752 |
Glenville State College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 High St, Glenville, WV 26351 Phone: 972-367-4845 | |
Glenville Office - Medicare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 376 Wv Hwy 5 E, Suite 101, Glenville, WV 26351 Phone: 304-462-7322 | |
Gilmer Office - Medicare - Fqhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Mineral Rd Ste 1, Glenville, WV 26351 Phone: 304-354-9244 Fax: 304-354-9323 | |
Glenville State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 High St, Glenville, WV 26351 Phone: 304-462-6223 |