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1 School Lane Circleville WV 26804-0187 | |
(304) 567-3193 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1 School Lane, Circleville, West Virginia |
Authorized Official Name and Position | Jaime Hudson (CEO) |
Authorized Official Contact | 3043582355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 100 Franklin WV 26807-0100 Ph: (304) 358-2355 | 1 School Lane Circleville WV 26804-0187 Ph: (304) 567-3193 |
NPI Number | 1386051035 |
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Provider Enumeration Date | 07/15/2014 |
Last Update Date | 06/14/2016 |
Medicare PECOS PAC ID | 3678470614 |
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Medicare Enrollment ID | O20141205000954 |
Identifier | Type | State | Issuer |
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1386051035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |