Sistersville Rural Health Clinic | |
305 Clay St Sistersville WV 26175-1059 | |
(304) 447-2038 | |
(304) 447-3990 |
Full Name | Sistersville Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 305 Clay St, Sistersville, West Virginia |
Authorized Official Name and Position | Paul Westbrock (VP, LEGAL AFFAIRS) |
Authorized Official Contact | 7403741581 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sistersville Rural Health Clinic C/o Paul Westbrock 314 S Wells St Sistersville WV 26175 Ph: (304) 652-2611 | Sistersville Rural Health Clinic 305 Clay St Sistersville WV 26175-1059 Ph: (304) 447-2038 |
NPI Number | 1598364168 |
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Provider Enumeration Date | 10/23/2020 |
Last Update Date | 05/07/2021 |
Medicare PECOS PAC ID | 4385055342 |
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Medicare Enrollment ID | O20210208000388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598364168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sistersville Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clay St, Sistersville, WV 26175 Phone: 304-447-2038 Fax: 304-447-3990 |