Mount View Tug River Wellness Center | |
950 Mount View Rd Suite 500 Welch WV 24801-2810 | |
(304) 436-4798 | |
(304) 436-4815 |
Full Name | Mount View Tug River Wellness Center |
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Speciality | Clinic/Center |
Location | 950 Mount View Rd, Welch, West Virginia |
Authorized Official Name and Position | Kim Harris (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 3044482101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mount View Tug River Wellness Center Route 103 Supply Street, Po Box 507 Gary WV 24836 Ph: (304) 448-2101 | Mount View Tug River Wellness Center 950 Mount View Rd Suite 500 Welch WV 24801-2810 Ph: (304) 436-4798 |
NPI Number | 1013093350 |
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Provider Enumeration Date | 10/30/2006 |
Last Update Date | 12/06/2018 |
Medicare PECOS PAC ID | 7214820547 |
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Medicare Enrollment ID | O20051108000741 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013093350 | NPI | - | NPPES |
CN3563 | Other | WV | RR MEDICARE |
3810005540 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 031000 (West Virginia) | Primary |
Mcdowell County Commission On Aging Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Stewart St, Welch, WV 24801 Phone: 304-436-6588 | |
Family Healthcare Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19771 Coal Heritage Rd, Welch, WV 24801 Phone: 304-436-2629 | |
Family Healthcare Associates, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19771 Coal Heritage Rd Ste 102, Welch, WV 24801 Phone: 304-436-6650 | |
Mcdowell County Commission On Aging Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Stewart St, Welch, WV 24801 Phone: 304-436-6588 Fax: 304-436-3901 | |
Mountaineer Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 794 Virginia Ave, Welch, WV 24801 Phone: 681-201-2064 | |
New River Health Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 Mcdowell St, Welch, WV 24801 Phone: 304-469-2905 |