| Monongah Middle School Wellness Center | |
|
550 Camden Ave Monongah WV 26554-1105 | |
| (304) 367-2164 | |
| (304) 366-9529 |
| Full Name | Monongah Middle School Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 550 Camden Ave, 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 Middle School Wellness Center 550 Camden Ave Monongah WV 26554-1105 Ph: (304) 367-2164 | Monongah Middle School Wellness Center 550 Camden Ave Monongah WV 26554-1105 Ph: (304) 367-2164 |
| NPI Number | 1376902122 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376902122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Monongah Elementary School Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 628 Walnut St, Monongah, WV 26554 Phone: 304-367-2159 Fax: 304-366-9529 |