| Carexpress Of Buckhannon | |
|
77 W Main St Buckhannon WV 26201-2236 | |
| (304) 473-5600 | |
| (304) 472-1341 |
| Full Name | Carexpress Of Buckhannon |
|---|---|
| Speciality | Clinic/Center |
| Location | 77 W Main St, Buckhannon, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING) |
| Authorized Official Contact | 3043177275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carexpress Of Buckhannon 77 W Main St Buckhannon WV 26201-2236 Ph: (304) 473-5600 | Carexpress Of Buckhannon 77 W Main St Buckhannon WV 26201-2236 Ph: (304) 473-5600 |
| NPI Number | 1114277050 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 0648189258 |
|---|---|
| Medicare Enrollment ID | O20121019000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114277050 | NPI | - | NPPES |
| 2198-9937 | Other | WV | WV BUSINESS REGISTRATION CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 2274-1060 (West Virginia) | Primary |
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