Peterstown Wellness Center | |
5414 Ballard Red Sulphur Pkwy Peterstown WV 24963-6048 | |
(304) 753-6960 | |
Not Available |
Full Name | Peterstown Wellness Center |
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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 |
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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 |
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Provider Enumeration Date | 11/21/2016 |
Last Update Date | 11/01/2022 |
Medicare PECOS PAC ID | 3173432671 |
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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 | |
Camc Greenbrier Valley Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3115 Seneca Trl S, Peterstown, WV 24963 Phone: 304-753-9100 | |
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 |