| Mount Hope Elementary School Based Health Center | |
|
204 S Mountain Ave Mount Hope WV 25880-1129 | |
| (304) 877-9133 | |
| (304) 877-2165 |
| Full Name | Mount Hope Elementary School Based Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 204 S Mountain Ave, Mount Hope, West Virginia |
| Authorized Official Name and Position | John R. Schultz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3044692905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Hope Elementary School Based Health Center Po Box 337 Scarbro WV 25917-0337 Ph: (304) 465-1378 | Mount Hope Elementary School Based Health Center 204 S Mountain Ave Mount Hope WV 25880-1129 Ph: (304) 877-9133 |
| NPI Number | 1952332496 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952332496 | NPI | - | NPPES |
| 3810020948 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1036-9138 (West Virginia) | Primary |
Mt. Hope Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 Main St, Mount Hope, WV 25880 Phone: 304-877-7904 Fax: 304-877-7906 | |
Mount Hope Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 269 Martin Lane, Mount Hope, WV 25880 Phone: 304-469-2905 Fax: 304-465-5486 |