Raven Wood Medical, Pllc | |
660 Sunset Dr Rainelle WV 25962-9412 | |
(304) 923-2385 | |
(304) 536-5031 |
Full Name | Raven Wood Medical, Pllc |
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Speciality | Family Medicine |
Location | 660 Sunset Dr, Rainelle, West Virginia |
Authorized Official Name and Position | David Preston Allen (OWNER/PROVIDER) |
Authorized Official Contact | 3049232385 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Raven Wood Medical, Pllc Po Box 862 White Sulphur Springs WV 24986-0862 Ph: (304) 536-5030 | Raven Wood Medical, Pllc 660 Sunset Dr Rainelle WV 25962-9412 Ph: (304) 923-2385 |
NPI Number | 1609411974 |
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Provider Enumeration Date | 11/11/2019 |
Last Update Date | 11/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609411974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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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 | |
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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 |