| Meadow Bridge Clinic Paas Fqhc | |
|
1502 Meadow Bridge Road Meadow Bridge WV 25976 | |
| (304) 484-7755 | |
| (304) 484-6205 |
| Full Name | Meadow Bridge Clinic Paas Fqhc |
|---|---|
| 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 |
|---|---|
| Meadow Bridge Clinic Paas Fqhc Po Box 120 Meadow Bridge WV 25976 Ph: (304) 484-7755 | Meadow Bridge Clinic Paas Fqhc 1502 Meadow Bridge Road Meadow Bridge WV 25976 Ph: (304) 484-7755 |
| NPI Number | 1932293941 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932293941 | NPI | - | NPPES |
| 0035241003 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 045967 (* (Not Available)) | Primary |
Meadow Bridge Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8971 Sewell Creek Road, Meadow Bridge, WV 25976 Phone: 304-484-7755 Fax: 304-484-6205 |