| Prime Care 12 Priority Health Inc. | |
|
702 Stafford Dr Princeton WV 24740-2406 | |
| (304) 425-0085 | |
| (304) 487-6993 |
| Full Name | Prime Care 12 Priority Health Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 702 Stafford Dr, Princeton, West Virginia |
| Authorized Official Name and Position | Shawn Vest (NP/OWNER) |
| Authorized Official Contact | 3044250085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care 12 Priority Health Inc. 702 Stafford Dr Princeton WV 24740-2406 Ph: (304) 425-0085 | Prime Care 12 Priority Health Inc. 702 Stafford Dr Princeton WV 24740-2406 Ph: (304) 425-0085 |
| NPI Number | 1306569868 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 8325410855 |
|---|---|
| Medicare Enrollment ID | O20230210000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306569868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shawn L Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497193007 PECOS PAC ID: 2668614587 Enrollment ID: I20130806000241 |
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