| Ritchie County Primary Care Assoc Inc | |
|
512 Collins Ave Pennsboro WV 26415-1011 | |
| (304) 643-4005 | |
| Not Available |
| Full Name | Ritchie County Primary Care Assoc Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 512 Collins Ave, Pennsboro, 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 |
|---|---|
| Ritchie County Primary Care Assoc Inc L-4162 Columbus OH 43260-0001 Ph: (304) 643-4005 | Ritchie County Primary Care Assoc Inc 512 Collins Ave Pennsboro WV 26415-1011 Ph: (304) 643-4005 |
| NPI Number | 1457042475 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/19/2023 |
| Medicare PECOS PAC ID | 0244142453 |
|---|---|
| Medicare Enrollment ID | O20230726001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457042475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pennsboro Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Medical Center Dr, Pennsboro, WV 26415 Phone: 304-659-2986 Fax: 304-659-2988 |