Regional Family Medicine, Inc | |
406nicholas Street Rupert WV 25984 | |
(304) 645-4043 | |
(304) 645-4713 |
Full Name | Regional Family Medicine, Inc |
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Speciality | General Practice |
Location | 406nicholas Street, Rupert, West Virginia |
Authorized Official Name and Position | Colin A Rose (PRESIDENT) |
Authorized Official Contact | 3046454043 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Regional Family Medicine, Inc Po Box 1049 Lewisburg WV 24901-4049 Ph: (304) 645-4043 | Regional Family Medicine, Inc 406nicholas Street Rupert WV 25984 Ph: (304) 645-4043 |
NPI Number | 1942458039 |
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Provider Enumeration Date | 09/03/2008 |
Last Update Date | 06/01/2010 |
Identifier | Type | State | Issuer |
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1942458039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 17710 (West Virginia) | Secondary |
208D00000X | General Practice | 16231 (West Virginia) | Primary |