| Parkersburg Family Care B | |
|
3705 Emerson Ave Parkersburg WV 26104-1118 | |
| (304) 917-3733 | |
| Not Available |
| Full Name | Parkersburg Family Care B |
|---|---|
| Speciality | Clinic/Center |
| Location | 3705 Emerson Ave, Parkersburg, West Virginia |
| Authorized Official Name and Position | Vicki Lynn Knicely (BILLING SUPERVISOR) |
| Authorized Official Contact | 3042753301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkersburg Family Care B Po Box 609 Elizabeth WV 26143-0609 Ph: (304) 275-3301 | Parkersburg Family Care B 3705 Emerson Ave Parkersburg WV 26104-1118 Ph: (304) 917-3733 |
| NPI Number | 1548777527 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 12/29/2017 |
| Medicare PECOS PAC ID | 7810806577 |
|---|---|
| Medicare Enrollment ID | O20180629001629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548777527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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