| Rosemar Medical Corporation | |
|
4 Rosemar Cir Parkersburg WV 26104-1204 | |
| (304) 485-6130 | |
| (304) 485-1519 |
| Full Name | Rosemar Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 4 Rosemar Cir, Parkersburg, West Virginia |
| Authorized Official Name and Position | John E. Beane (PRESIDENT) |
| Authorized Official Contact | 3044856130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemar Medical Corporation 4 Rosemar Cir Parkersburg WV 26104-1204 Ph: (304) 485-6130 | Rosemar Medical Corporation 4 Rosemar Cir Parkersburg WV 26104-1204 Ph: (304) 485-6130 |
| NPI Number | 1972698876 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972698876 | NPI | - | NPPES |
| 013332 | Other | WV | COLA ID# |
| 1802554000 | Medicaid | WV | |
| 0044523000 | Medicaid | WV | |
| 0048235000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 008419 (West Virginia) | Primary |
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