Ritchie County Primary Care Assoc Inc | |
1201 E Main St Harrisville WV 26362-1359 | |
(304) 643-4005 | |
Not Available |
Full Name | Ritchie County Primary Care Assoc Inc |
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Speciality | Clinic/Center |
Location | 1201 E Main St, Harrisville, West Virginia |
Authorized Official Name and Position | Amy Yokum (CEO) |
Authorized Official Contact | 3046434005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ritchie County Primary Care Assoc Inc L-4162 Columbus OH 43260-0001 Ph: (304) 643-4005 | Ritchie County Primary Care Assoc Inc 1201 E Main St Harrisville WV 26362-1359 Ph: (304) 643-4005 |
NPI Number | 1669163697 |
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Provider Enumeration Date | 05/19/2023 |
Last Update Date | 05/19/2023 |
Medicare PECOS PAC ID | 0244142453 |
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Medicare Enrollment ID | O20230623002693 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669163697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ritchie Regional Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 South Penn Ave, Harrisville, WV 26362 Phone: 304-643-4005 Fax: 304-643-4007 | |
Harrisville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 E Pearl St, Harrisville, WV 26362 Phone: 304-643-2957 Fax: 304-643-2958 |