Physician's First Care | |
200 Route 98 W St Suite 103 Nutter Fort WV 26301-4385 | |
(304) 326-0092 | |
(304) 623-1073 |
Full Name | Physician's First Care |
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Speciality | Internal Medicine |
Location | 200 Route 98 W St, Nutter Fort, West Virginia |
Authorized Official Name and Position | Michelle White (OFFICE MANAGER) |
Authorized Official Contact | 3043260092 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physician's First Care 200 Route 98 W St Suite 103 Nutter Fort WV 26301-4385 Ph: (304) 326-0092 | Physician's First Care 200 Route 98 W St Suite 103 Nutter Fort WV 26301-4385 Ph: (304) 326-0092 |
NPI Number | 1235421983 |
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Provider Enumeration Date | 05/12/2011 |
Last Update Date | 05/31/2011 |
Medicare PECOS PAC ID | 2961689708 |
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Medicare Enrollment ID | O20110606000011 |
Identifier | Type | State | Issuer |
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1235421983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21580W (West Virginia) | Primary |
208000000X | Pediatrics | 21580W (West Virginia) | Secondary |
Provider Name | Olatokunbo Madupe Adeniyi |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1174621809 PECOS PAC ID: 0244204204 Enrollment ID: I20040824001498 |
Nutter Fort Primary Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1302 Buckhannon Pike, Nutter Fort, WV 26301 Phone: 304-624-3275 Fax: 304-624-3382 | |
Nutter Fort Intermediate Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1302 Buckhannon Pike, Nutter Fort, WV 26301 Phone: 304-326-7501 Fax: 304-624-3259 | |
Maurice C. Rhodes, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Route 98 W St, Ste 401, Nutter Fort, WV 26301 Phone: 304-622-0704 Fax: 304-622-6109 |