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1502 Meadow Bridge Road Meadow Bridge WV 25976 | |
(304) 484-7755 | |
(304) 484-6205 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1502 Meadow Bridge Road, Meadow Bridge, West Virginia |
Authorized Official Name and Position | Floyd N Price (CEO) |
Authorized Official Contact | 3044386188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 120 Meadow Bridge WV 25976 Ph: (304) 484-7755 | 1502 Meadow Bridge Road Meadow Bridge WV 25976 Ph: (304) 484-7755 |
NPI Number | 1932293941 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1932293941 | NPI | - | NPPES |
0035241003 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 045967 (* (Not Available)) | Primary |