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59 Vanatters Crk Ranger WV 25557-9719 | |
(304) 778-3084 | |
(304) 778-3881 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 59 Vanatters Crk, Ranger, West Virginia |
Authorized Official Name and Position | Lisa Leach (CEO) |
Authorized Official Contact | 3048245806 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7400 Lynn Ave Hamlin WV 25523-1138 Ph: (304) 824-5806 | 59 Vanatters Crk Ranger WV 25557-9719 Ph: (304) 778-3084 |
NPI Number | 1801254388 |
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Provider Enumeration Date | 01/29/2016 |
Last Update Date | 03/08/2023 |
Identifier | Type | State | Issuer |
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1801254388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 2318-7147 (West Virginia) | Primary |