| Potomac Valley Hospital Of W Va , Inc | |
|
10261 Frankfort Hwy Fort Ashby WV 26719-4533 | |
| (304) 597-3600 | |
| (304) 285-3963 |
| Full Name | Potomac Valley Hospital Of W Va , Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10261 Frankfort Hwy, Fort Ashby, West Virginia |
| Authorized Official Name and Position | Sue A Wells (SENIOR DIRECTOR OF CLINIC OPERATION) |
| Authorized Official Contact | 3045973525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Valley Hospital Of W Va , Inc 1370 Johnson Ave Ste 102 Bridgeport WV 26330-1492 Ph: (681) 342-3453 | Potomac Valley Hospital Of W Va , Inc 10261 Frankfort Hwy Fort Ashby WV 26719-4533 Ph: (304) 597-3600 |
| NPI Number | 1902444987 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 12/20/2019 |
| Medicare PECOS PAC ID | 8123917788 |
|---|---|
| Medicare Enrollment ID | O20200219002125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902444987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fort Ashby Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Presidents Street, Unit 1150, Fort Ashby, WV 26719 Phone: 304-298-3605 Fax: 304-298-3578 |