| Monongah Elementary School Wellness Center | |
|
628 Walnut St Monongah WV 26554-1136 | |
| (304) 367-2159 | |
| (304) 366-9529 |
| Full Name | Monongah Elementary School Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 628 Walnut St, Monongah, West Virginia |
| Authorized Official Name and Position | Nancy L Vandergrift (PRESIDENT) |
| Authorized Official Contact | 3043678740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monongah Elementary School Wellness Center 628 Walnut St Monongah WV 26554-1136 Ph: (304) 367-2159 | Monongah Elementary School Wellness Center 628 Walnut St Monongah WV 26554-1136 Ph: (304) 367-2159 |
| NPI Number | 1285093039 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285093039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Monongah Middle School Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Camden Ave, Monongah, WV 26554 Phone: 304-367-2164 Fax: 304-366-9529 |