| Middle Island Health Clinic | |
|
100 Fair Ave Middlebourne WV 26149-9622 | |
| (304) 758-5100 | |
| (304) 758-4646 |
| Full Name | Middle Island Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 100 Fair Ave, Middlebourne, West Virginia |
| Authorized Official Name and Position | Edwin Szewczyk (CFO) |
| Authorized Official Contact | 3044558013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Island Health Clinic Po Box 244 New Martinsville WV 26155-0244 Ph: (304) 455-8006 | Middle Island Health Clinic 100 Fair Ave Middlebourne WV 26149-9622 Ph: (304) 758-5100 |
| NPI Number | 1639216039 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639216039 | NPI | - | NPPES |
| 0001221009 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sistersville General Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Fair St, Middlebourne, WV 26149 Phone: 304-758-5000 Fax: 304-758-5022 | |
Sistersville General Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Fair St, Middlebourne, WV 26149 Phone: 304-447-2471 Fax: 304-447-2471 |