| Rainelle Medical Center, Inc | |
|
595 Spartan Lane Route 1 B 150 Ronceverte WV 24970 | |
| (304) 645-1052 | |
| (304) 645-1055 |
| Full Name | Rainelle Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 595 Spartan Lane, Ronceverte, West Virginia |
| Authorized Official Name and Position | Debra J Davidson-bennett (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044386188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainelle Medical Center, Inc 176 Medical Center Dr Rainelle WV 25962-1064 Ph: (304) 438-6188 | Rainelle Medical Center, Inc 595 Spartan Lane Route 1 B 150 Ronceverte WV 24970 Ph: (304) 645-1052 |
| NPI Number | 1265101273 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Medicare PECOS PAC ID | 7416861810 |
|---|---|
| Medicare Enrollment ID | O20220505002108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265101273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Debra C Sams Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Maplewood Avenue, Ronceverte, WV 24970 Phone: 304-645-4406 | |
Greenbrier Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-4411 | |
Shirey & Shirey M C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17 Red Oaks Shopping Ctr, Ronceverte, WV 24970 Phone: 304-645-1117 Fax: 304-645-1148 | |
Ronceverte Physician Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-4411 | |
Greenbrier Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-4411 Fax: 304-647-6010 | |
Healthcare 360 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9016 Seneca Trail, Ronceverte, WV 24970 Phone: 681-318-3477 Fax: 681-318-3479 |