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401 N Pike St Grafton WV 26354-1268 | |
(304) 265-1350 | |
(304) 265-0295 |
Full Name | |
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Speciality | Family Medicine |
Location | 401 N Pike St, Grafton, 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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686 S Pike St Ste A Shinnston WV 26431-1043 Ph: (304) 624-4655 | 401 N Pike St Grafton WV 26354-1268 Ph: (304) 265-1350 |
NPI Number | 1891863874 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 04/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891863874 | NPI | - | NPPES |
3810022425 | Medicaid | WV |
Preston Taylor Community Health Centers, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 North Pike Street, Grafton, WV 26354 Phone: 304-265-0312 Fax: 304-265-0314 | |
R Legacy Inv Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4706 Knottsville Rd, Grafton, WV 26354 Phone: 304-265-2874 | |