| |
200 Health Center Dr Union WV 24983 | |
(304) 772-3064 | |
(304) 772-3296 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 200 Health Center Dr, Union, West Virginia |
Authorized Official Name and Position | Roger Brady (CEO) |
Authorized Official Contact | 3047723064 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
108 College Dr Peterstown WV 24963 Ph: (304) 753-6960 | 200 Health Center Dr Union WV 24983 Ph: (304) 772-3064 |
NPI Number | 1962696682 |
---|---|
Provider Enumeration Date | 09/06/2007 |
Last Update Date | 09/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962696682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gelderman Medical Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 South Dunlap Street, Union, WV 24983 Phone: 304-772-3211 Fax: 304-772-4991 | |