| Maxwelton Health Center | |
|
390 Industrial Park Maxwelton WV 24957 | |
| (304) 438-6188 | |
| (304) 438-6819 |
| Full Name | Maxwelton Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 390 Industrial Park, Maxwelton, West Virginia |
| Authorized Official Name and Position | Debra Bennett (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044386188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwelton Health Center 176 Medical Center Dr Rainelle WV 25962-1064 Ph: (304) 438-6188 | Maxwelton Health Center 390 Industrial Park Maxwelton WV 24957 Ph: (304) 438-6188 |
| NPI Number | 1528417946 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 7416861810 |
|---|---|
| Medicare Enrollment ID | O20160928002475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528417946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Seneca Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 888-796-9883 |