<unavail> in Rupert, WV - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Rupert, West Virginia. The current practice location for is 458 Greenbrier Street, Rupert, West Virginia. For appointments, you can reach them via phone at (304) 438-6188. The mailing address for is 176 Medical Center Dr, Rainelle, West Virginia and phone number is (304) 438-6188.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811081821. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 438-6188.

Contact Information


	458 Greenbrier Street Rupert WV 25984
	(304) 438-6188
	(304) 438-4037

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	458 Greenbrier Street, Rupert, West Virginia
Authorized Official Name and Position	Debra J Bennett (CREDENTIALING SPECIALIST)
Authorized Official Contact	3044386188
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
176 Medical Center Dr Rainelle WV 25962-1064 Ph: (304) 438-6188	458 Greenbrier Street Rupert WV 25984 Ph: (304) 438-6188

NPI Details:

NPI Number	1811081821
Provider Enumeration Date	10/03/2006
Last Update Date	06/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7416861810
Medicare Enrollment ID	O20240725003084

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811081821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QM1300X	Clinic/center - Multi-specialty	054272 (West Virginia)	Secondary

Reviews and Comments

Clinic/Center in Rupert, WV

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 356 Nicholas Street, Rupert, WV 25984 Phone: 304-645-3220 Fax: 304-645-4103
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Greenbier St, Rupert, WV 25984 Phone: 304-392-5381 Fax: 304-392-5351
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Nicholas Street, Rupert, WV 25984 Phone: 304-392-1040 Fax: 304-392-2083
Regional Family Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406nicholas Street, Rupert, WV 25984 Phone: 304-645-4043 Fax: 304-645-4713

- Medicare Primary Care in Rupert, WV