Newburg Clinic | |
2060 N. Mountaineer Hwy Newburg WV 26410-0159 | |
(304) 892-2812 | |
(304) 892-2814 |
Full Name | Newburg Clinic |
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Speciality | Clinic/Center |
Location | 2060 N. Mountaineer Hwy, Newburg, West Virginia |
Authorized Official Name and Position | Linda M Shriver (CHIEF EXECUTIVE OFFICER) |
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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Newburg Clinic Po Box 35 Newburg WV 26410-0035 Ph: (304) 892-2828 | Newburg Clinic 2060 N. Mountaineer Hwy Newburg WV 26410-0159 Ph: (304) 892-2812 |
NPI Number | 1154439859 |
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Provider Enumeration Date | 08/25/2006 |
Last Update Date | 08/05/2014 |
Medicare PECOS PAC ID | 3072406438 |
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Medicare Enrollment ID | O20090507000607 |
Identifier | Type | State | Issuer |
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1154439859 | NPI | - | NPPES |
0035308000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |