| New River Health - Sophia | |
|
302 W Main Street Sophia WV 25921 | |
| (304) 683-4304 | |
| (304) 683-4307 |
| Full Name | New River Health - Sophia |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 W Main Street, Sophia, West Virginia |
| Authorized Official Name and Position | John R. Schultz (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3044692905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New River Health - Sophia 497 Mall Rd Oak Hill WV 25901-6216 Ph: (304) 469-2905 | New River Health - Sophia 302 W Main Street Sophia WV 25921 Ph: (304) 683-4304 |
| NPI Number | 1851836225 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 2365348596 |
|---|---|
| Medicare Enrollment ID | O20101102000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851836225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1036-9138 (West Virginia) | Primary |
Gulf Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 W Main St, Sophia, WV 25921 Phone: 304-683-4304 Fax: 304-683-4307 |