| Mountaineer Family Care Cneter | |
|
2287 S Mountaineer Hwy Thornton WV 26440-7171 | |
| (304) 265-6963 | |
| (304) 265-6961 |
| Full Name | Mountaineer Family Care Cneter |
|---|---|
| Speciality | Pediatrics |
| Location | 2287 S Mountaineer Hwy, Thornton, West Virginia |
| Authorized Official Name and Position | Cynthia D Wolfe (OFFICE MANAGER) |
| Authorized Official Contact | 3042656963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountaineer Family Care Cneter 2287 S Mountaineer Hwy Thornton WV 26440-7171 Ph: (304) 265-6963 | Mountaineer Family Care Cneter 2287 S Mountaineer Hwy Thornton WV 26440-7171 Ph: (304) 265-6963 |
| NPI Number | 1861586802 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 12/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861586802 | NPI | - | NPPES |
| 3810001396 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Mountaineer Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 S Mountaineer Hwy, Thornton, WV 26440 Phone: 304-290-8874 |