| Monroe County Health Center, Board Of Trustees | |
|
2869 Seneca Trail Peterstown WV 24963 | |
| (304) 753-4336 | |
| (304) 753-4097 |
| Full Name | Monroe County Health Center, Board Of Trustees |
|---|---|
| Speciality | Clinic/Center |
| Location | 2869 Seneca Trail, Peterstown, West Virginia |
| Authorized Official Name and Position | James M Nelson (CEO) |
| Authorized Official Contact | 3047723064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe County Health Center, Board Of Trustees 200 Health Center Drive Po Box 590 Union WV 24983 Ph: (304) 772-3064 | Monroe County Health Center, Board Of Trustees 2869 Seneca Trail Peterstown WV 24963 Ph: (304) 753-4336 |
| NPI Number | 1174725188 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 11/23/2015 |
| Medicare PECOS PAC ID | 3173432671 |
|---|---|
| Medicare Enrollment ID | O20030221000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174725188 | NPI | - | NPPES |
| 001706775 | Other | WV | BC/BS |
| 3810011420 | Medicaid | WV | |
| 5611053 | Other | WV | AETNA |
| DB2513 | Other | WV | MEDICARE RR GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |
Peterstown Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5414 Ballard Red Sulphur Pkwy, Peterstown, WV 24963 Phone: 304-753-6960 | |
Miller Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3921 Seneca Trail South, Peterstown, WV 24963 Phone: 304-753-9100 Fax: 304-753-9353 |