| Rainelle Medical/dental Center | |
|
205 Medical Center Drive Rainelle WV 25962-1064 | |
| (304) 438-1922 | |
| (304) 438-1921 |
| Full Name | Rainelle Medical/dental Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 Medical Center Drive, Rainelle, West Virginia |
| Authorized Official Name and Position | Debra J 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/dental Center 176 Medical Center Dr Rainelle WV 25962-1064 Ph: (304) 438-6188 | Rainelle Medical/dental Center 205 Medical Center Drive Rainelle WV 25962-1064 Ph: (304) 438-1922 |
| NPI Number | 1093199036 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 7416861810 |
|---|---|
| Medicare Enrollment ID | O20161122001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093199036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |
Paas Fqhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 176 Medical Center Dr, Rainelle, WV 25962 Phone: 304-438-6188 Fax: 304-438-4037 | |
Rainelle Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Medical Center Dr, Rainelle, WV 25962 Phone: 304-438-6188 Fax: 304-438-6819 | |
Western Greenbrier Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Main Street, Rainelle, WV 25962 Phone: 304-438-5550 Fax: 304-438-5559 | |
Rainelle Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 286 Main St, Rainelle, WV 25962 Phone: 304-438-6188 Fax: 304-438-6819 | |
Raven Wood Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Sunset Dr, Rainelle, WV 25962 Phone: 304-923-2385 Fax: 304-536-5031 |