Lumberport Family Medicine | |
317 Main St Lumberport WV 26386-0398 | |
(304) 584-4490 | |
(304) 584-4732 |
Full Name | Lumberport Family Medicine |
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Speciality | Family Medicine |
Location | 317 Main St, Lumberport, West Virginia |
Authorized Official Name and Position | John C Forester (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3046244655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lumberport Family Medicine 686 S Pike St Ste A Shinnston WV 26431-1043 Ph: (304) 624-4655 | Lumberport Family Medicine 317 Main St Lumberport WV 26386-0398 Ph: (304) 584-4490 |
NPI Number | 1144398819 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 04/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144398819 | NPI | - | NPPES |
4004027000 | Medicaid | WV |
Lumberport Elementary School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Chestnut & Lyndon Streets, Lumberport, WV 26386 Phone: 304-326-7020 Fax: 304-584-5943 | |
Lumberport Middle School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 Main St, Lumberport, WV 26386 Phone: 304-326-7540 Fax: 304-584-4602 |