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729 Main St Mount Hope WV 25880-1318 | |
| (304) 877-7904 | |
| (304) 877-7906 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 729 Main St, 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 |
|---|---|
497 Mall Rd Oak Hill WV 25901-6216 Ph: (304) 469-2905 | 729 Main St Mount Hope WV 25880-1318 Ph: (304) 877-7904 |
| NPI Number | 1033431572 |
|---|---|
| Provider Enumeration Date | 02/25/2010 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033431572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1036-9138 (West Virginia) | Primary |