| Raleigh Boone Medical Center | |
|
37456 Coal River Rd Whitesville WV 25209-9077 | |
| (304) 845-1323 | |
| (304) 854-1031 |
| Full Name | Raleigh Boone Medical Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 37456 Coal River Rd, Whitesville, West Virginia |
| Authorized Official Name and Position | Margaret L Martin (ADMINISTRAR) |
| Authorized Official Contact | 3048541323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Boone Medical Center 37456 Coal River Rd Whitesville WV 25209-9077 Ph: (304) 845-1323 | Raleigh Boone Medical Center 37456 Coal River Rd Whitesville WV 25209-9077 Ph: (304) 845-1323 |
| NPI Number | 1467512152 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 06/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467512152 | NPI | - | NPPES |
| 0011696001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southern West Virginia Health System-whitesville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 37456 Coal River Rd, Whitesville, WV 25209 Phone: 304-854-1321 |