| Pendleton Community Care Inc | |
|
82 Pine St Franklin WV 26807-0100 | |
| (304) 358-2355 | |
| (304) 358-3054 |
| Full Name | Pendleton Community Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 82 Pine St, Franklin, West Virginia |
| Authorized Official Name and Position | Jamie M Hudson (CEO) |
| Authorized Official Contact | 3043587230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pendleton Community Care Inc Po Box 100 Franklin WV 26807-0100 Ph: (304) 358-2355 | Pendleton Community Care Inc 82 Pine St Franklin WV 26807-0100 Ph: (304) 358-2355 |
| NPI Number | 1417936535 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 07/19/2016 |
| Medicare PECOS PAC ID | 3678470614 |
|---|---|
| Medicare Enrollment ID | O20050321000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417936535 | NPI | - | NPPES |
| 5369008000 | Medicaid | WV | |
| 001965507 | Other | WV | MS BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pendleton County High School Sbhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 147 Maple Ave, Franklin, WV 26807 Phone: 304-358-3254 | |
Franklin Elementary School Sbhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 South Branch Street, Franklin, WV 26807 Phone: 304-358-2206 |