| Mccloud Medical Services Llc | |
|
915 East Frk Dingess WV 25671-6536 | |
| (304) 784-2981 | |
| Not Available |
| Full Name | Mccloud Medical Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 915 East Frk, Dingess, West Virginia |
| Authorized Official Name and Position | Lisa Sue Mccloud (APRN/EMPLOYEE) |
| Authorized Official Contact | 3047842981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccloud Medical Services Llc 915 East Frk Dingess WV 25671-6536 Ph: (304) 784-2981 | Mccloud Medical Services Llc 915 East Frk Dingess WV 25671-6536 Ph: (304) 784-2981 |
| NPI Number | 1851968309 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
| Medicare PECOS PAC ID | 9537539705 |
|---|---|
| Medicare Enrollment ID | O20230104001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851968309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lisa Mccloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780132571 PECOS PAC ID: 5890074801 Enrollment ID: I20161115002438 |
Williamson Health& Wellness Center-dingess Elem. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 495 Messenger Branch Road, Dingess, WV 25671 Phone: 304-236-5902 Fax: 855-487-4047 |