| Peterstown Wellness Center | |
|
5414 Ballard Red Sulphur Pkwy Peterstown WV 24963-6048 | |
| (304) 753-6960 | |
| Not Available |
| Full Name | Peterstown Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5414 Ballard Red Sulphur Pkwy, Peterstown, West Virginia |
| Authorized Official Name and Position | Michelle Ballard (COO) |
| Authorized Official Contact | 3047723034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterstown Wellness Center Po Box 590 Union WV 24983-0590 Ph: (304) 772-3064 | Peterstown Wellness Center 5414 Ballard Red Sulphur Pkwy Peterstown WV 24963-6048 Ph: (304) 753-6960 |
| NPI Number | 1265975379 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 3173432671 |
|---|---|
| Medicare Enrollment ID | O20170111003103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265975379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Monroe County Health Center, Board Of Trustees Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2869 Seneca Trail, Peterstown, WV 24963 Phone: 304-753-4336 Fax: 304-753-4097 | |
Miller Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3921 Seneca Trail South, Peterstown, WV 24963 Phone: 304-753-9100 Fax: 304-753-9353 |