| Miller Family Practice | |
|
3921 Seneca Trail South Peterstown WV 24963 | |
| (304) 753-9100 | |
| (304) 753-9353 |
| Full Name | Miller Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 3921 Seneca Trail South, Peterstown, West Virginia |
| Authorized Official Name and Position | Stephen Michael Miller (OWNER) |
| Authorized Official Contact | 3047539100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Family Practice Po Box 430 Peterstown WV 24963-0430 Ph: (304) 753-9100 | Miller Family Practice 3921 Seneca Trail South Peterstown WV 24963 Ph: (304) 753-9100 |
| NPI Number | 1780609107 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 09/08/2009 |
| Medicare PECOS PAC ID | 9032103189 |
|---|---|
| Medicare Enrollment ID | O20040412001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780609107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Stephen M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871519660 PECOS PAC ID: 2860486933 Enrollment ID: I20100802000601 |
Monroe County Health Center, Board Of Trustees Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2869 Seneca Trail, Peterstown, WV 24963 Phone: 304-753-4336 Fax: 304-753-4097 | |
Peterstown Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5414 Ballard Red Sulphur Pkwy, Peterstown, WV 24963 Phone: 304-753-6960 |