Pennsboro Medical Center | |
21 Medical Center Dr Pennsboro WV 26415-1276 | |
(304) 659-2986 | |
(304) 659-2988 |
Full Name | Pennsboro Medical Center |
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Speciality | Family Medicine |
Location | 21 Medical Center Dr, Pennsboro, West Virginia |
Authorized Official Name and Position | John C Forester (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3046244655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pennsboro Medical Center 686 S Pike St Ste A Shinnston WV 26431-1043 Ph: (304) 624-4655 | Pennsboro Medical Center 21 Medical Center Dr Pennsboro WV 26415-1276 Ph: (304) 659-2986 |
NPI Number | 1992873558 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 11/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992873558 | NPI | - | NPPES |
0205557000 | Medicaid | WV |
Ritchie County Primary Care Assoc Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512 Collins Ave, Pennsboro, WV 26415 Phone: 304-643-4005 |