Mountaintop Health Center | |
30 Cortland Acres Lane Thomas WV 26292-9704 | |
(304) 463-3331 | |
(304) 463-3338 |
Full Name | Mountaintop Health Center |
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Speciality | Clinic/Center |
Location | 30 Cortland Acres Lane, Thomas, West Virginia |
Authorized Official Name and Position | Beverly J. Snyder (EXECUTIVE ASSISTANT/ACCESS MANAGER) |
Authorized Official Contact | 3042650312 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mountaintop Health Center 25 W Bluemont St Grafton WV 26354-1242 Ph: (304) 265-0312 | Mountaintop Health Center 30 Cortland Acres Lane Thomas WV 26292-9704 Ph: (304) 463-3331 |
NPI Number | 1245348945 |
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Provider Enumeration Date | 08/25/2006 |
Last Update Date | 02/15/2022 |
Medicare PECOS PAC ID | 3072406438 |
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Medicare Enrollment ID | O20090507000653 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245348945 | NPI | - | NPPES |
0904002000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |