is a primary clinic (Clinic/center - Public Health, State Or Local) in Wilcoe, West Virginia. The current practice location for
is Rte. 103, Wilcoe, West Virginia. For appointments, you can reach them via phone at (304) 448-2174. The mailing address for is Po Box 218, Wilcoe, West Virginia and phone number is () -.
is licensed to practice in * (Not Available) (license number ) and its NPI number is 1922416650. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (304) 448-2174.
Primary Care Clinic Profile
| Full Name | |
|---|
| Speciality | Clinic/center - Public Health, State Or Local |
|---|
| Location | Rte. 103, Wilcoe, West Virginia |
|---|
| Authorized Official Name and Position | Jesse Rose (ADMINISTRATOR) |
|---|
| Authorized Official Contact | 3044482174 |
|---|
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Po Box 218
Wilcoe
WV 24895-0218
Ph: () - |
Rte. 103
Wilcoe
WV 24895
Ph: (304) 448-2174 |
NPI Details:
| NPI Number | 1922416650 |
|---|
| Provider Enumeration Date | 07/25/2014 |
|---|
| Last Update Date | 07/25/2014 |
|---|
Medical Identifiers
Medical identifiers for
such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922416650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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