| Pendleton County High School Sbhc | |
|
147 Maple Ave Franklin WV 26807-0040 | |
| (304) 358-3254 | |
| Not Available |
| Full Name | Pendleton County High School Sbhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 147 Maple Ave, Franklin, West Virginia |
| Authorized Official Name and Position | Jamie 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 |
|---|---|
| Pendleton County High School Sbhc Po Box 100 Franklin WV 26807-0100 Ph: (304) 358-2355 | Pendleton County High School Sbhc 147 Maple Ave Franklin WV 26807-0040 Ph: (304) 358-3254 |
| NPI Number | 1205243961 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 06/14/2016 |
| Medicare PECOS PAC ID | 3678470614 |
|---|---|
| Medicare Enrollment ID | O20141105000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205243961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pendleton Community Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 82 Pine St, Franklin, WV 26807 Phone: 304-358-2355 Fax: 304-358-3054 | |
Franklin Elementary School Sbhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 South Branch Street, Franklin, WV 26807 Phone: 304-358-2206 |