Midland Trail Health Center | |
26737 Midland Trail Hico WV 25854-0089 | |
(304) 969-8080 | |
(304) 658-3999 |
Full Name | Midland Trail Health Center |
---|---|
Speciality | Clinic/Center |
Location | 26737 Midland Trail, Hico, West Virginia |
Authorized Official Name and Position | Debra J Davidson-bennett (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3044386188 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Midland Trail Health Center 176 Medical Center Dr Rainelle WV 25962-1064 Ph: (304) 438-6188 | Midland Trail Health Center 26737 Midland Trail Hico WV 25854-0089 Ph: (304) 969-8080 |
NPI Number | 1952815268 |
---|---|
Provider Enumeration Date | 11/22/2017 |
Last Update Date | 07/18/2023 |
Medicare PECOS PAC ID | 7416861810 |
---|---|
Medicare Enrollment ID | O20180831001280 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952815268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |