Parkersburg Family Med Assoc Pllc | |
600 18th St Suite 611 Parkersburg WV 26101-3231 | |
(304) 424-4870 | |
(304) 424-4090 |
Full Name | Parkersburg Family Med Assoc Pllc |
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Speciality | Family Medicine |
Location | 600 18th St, Parkersburg, West Virginia |
Authorized Official Name and Position | James N Spychalski (PARTNER) |
Authorized Official Contact | 3044244870 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Parkersburg Family Med Assoc Pllc 600 18th St Suite 611 Parkersburg WV 26101-3231 Ph: (304) 424-4870 | Parkersburg Family Med Assoc Pllc 600 18th St Suite 611 Parkersburg WV 26101-3231 Ph: (304) 424-4870 |
NPI Number | 1154387223 |
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Provider Enumeration Date | 04/26/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5395733778 |
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Medicare Enrollment ID | O20040504001053 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154387223 | NPI | - | NPPES |
2368692 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James N Spychalski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689630741 PECOS PAC ID: 6800792656 Enrollment ID: I20031211000659 |
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