| Rupert Primary Care | |
|
1109 Greenbier St Rupert WV 25984 | |
| (304) 392-5381 | |
| (304) 392-5351 |
| Full Name | Rupert Primary Care |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1109 Greenbier St, Rupert, West Virginia |
| Authorized Official Name and Position | J Jorge Gordinho (SUPERVISOR PHYSICIAN OWNER) |
| Authorized Official Contact | 3042549022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rupert Primary Care 310 George St Beckley WV 25801-2653 Ph: (304) 254-9022 | Rupert Primary Care 1109 Greenbier St Rupert WV 25984 Ph: (304) 392-5381 |
| NPI Number | 1518970243 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518970243 | NPI | - | NPPES |
| 3810006041 | Medicaid | WV | |
| 5303001000 | Medicaid | WV | |
| P00177367 | Other | WV | RAILROAD MEDICARE |
| 0072202000 | Medicaid | WV | |
| CK7027 | Other | WV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Robert C. Byrd Clinic - Rupert Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 356 Nicholas Street, Rupert, WV 25984 Phone: 304-645-3220 Fax: 304-645-4103 | |
Rupert Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 Greenbrier Street, Rupert, WV 25984 Phone: 304-438-6188 Fax: 304-438-4037 | |
Rupert Clinic 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 |