Neveah Health & Wellness Center, Pllc | |
538 3rd Avenue South Charleston WV 25303 | |
(304) 362-9883 | |
(304) 362-9881 |
Full Name | Neveah Health & Wellness Center, Pllc |
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Speciality | Family Medicine |
Location | 538 3rd Avenue, South Charleston, West Virginia |
Authorized Official Name and Position | Cathy Cochran (OFFICE MANAGER) |
Authorized Official Contact | 30453285198 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Neveah Health & Wellness Center, Pllc 538 3rd Avenue South Charleston WV 25303 Ph: (304) 362-9883 | Neveah Health & Wellness Center, Pllc 538 3rd Avenue South Charleston WV 25303 Ph: (304) 362-9883 |
NPI Number | 1003213471 |
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Provider Enumeration Date | 12/01/2014 |
Last Update Date | 12/01/2014 |
Medicare PECOS PAC ID | 9739402868 |
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Medicare Enrollment ID | O20141222002298 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003213471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (West Virginia) | Primary |
Provider Name | Elizabeth K Hensley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578526943 PECOS PAC ID: 9638350002 Enrollment ID: I20141222002451 |
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