Pendleton Community Care Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Franklin, West Virginia. The current practice location for Pendleton Community Care Inc is 82 Pine St, Franklin, West Virginia. For appointments, you can reach them via phone at
(304) 358-2355. The mailing address for Pendleton Community Care Inc is Po Box 100, Franklin, West Virginia and phone number is (304) 358-2355.
Pendleton Community Care Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1417936535. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(304) 358-2355.
Primary Care Clinic Profile
| Full Name | Pendleton Community Care Inc |
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| Speciality | Clinic/Center |
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| Location | 82 Pine St, Franklin, West Virginia |
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| Authorized Official Name and Position | Jamie M Hudson (CEO) |
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| Authorized Official Contact | 3043587230 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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 Details:
| NPI Number | 1417936535 |
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| Provider Enumeration Date | 01/17/2006 |
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| Last Update Date | 07/19/2016 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3678470614 |
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| Medicare Enrollment ID | O20050321000400 |
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Medical Identifiers
Medical identifiers for Pendleton Community Care Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417936535 | NPI | - | NPPES |
| 5369008000 | Medicaid | WV | |
| 001965507 | Other | WV | MS BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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