| Potomac Valley Family Medicine-petersburg | |
|
8 Lee St Suite 3 Moorefield WV 26836-1091 | |
| (304) 538-7707 | |
| (304) 538-7706 |
| Full Name | Potomac Valley Family Medicine-petersburg |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8 Lee St, Moorefield, West Virginia |
| Authorized Official Name and Position | Sandy M Michaels (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3052571026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Valley Family Medicine-petersburg Po Box 1019 Petersburg WV 26847-1019 Ph: (304) 257-1026 | Potomac Valley Family Medicine-petersburg 8 Lee St Suite 3 Moorefield WV 26836-1091 Ph: (304) 538-7707 |
| NPI Number | 1245238237 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245238237 | NPI | - | NPPES |
| 0001375015 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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