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926a 5th Ave Marlinton WV 24954-1209 | |
(304) 799-6551 | |
(304) 799-6552 |
Full Name | |
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Speciality | Clinic/Center |
Location | 926a 5th Ave, Marlinton, West Virginia |
Authorized Official Name and Position | Richard G Simon (CEO) |
Authorized Official Contact | 3049246262 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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926a 5th Ave Marlinton WV 24954-1209 Ph: (304) 799-6551 | 926a 5th Ave Marlinton WV 24954-1209 Ph: (304) 799-6551 |
NPI Number | 1790033082 |
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Provider Enumeration Date | 08/17/2012 |
Last Update Date | 08/17/2012 |
Medicare PECOS PAC ID | 0446232987 |
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Medicare Enrollment ID | O20121012000674 |
Identifier | Type | State | Issuer |
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1790033082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Sarita L Bennett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rt 2 Box 386, Marlinton, WV 24954 Phone: 304-799-0011 Fax: 304-799-0035 | |
Pocahontas County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 10th Ave, Marlinton, WV 24954 Phone: 304-799-4154 Fax: 304-799-7490 |