Salt Rock Medical Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Salt Rock, West Virginia. The current practice location for Salt Rock Medical Center is 5490 State Route 10, Salt Rock, West Virginia. For appointments, you can reach them via phone at
(304) 824-5806. The mailing address for Salt Rock Medical Center is 7400 Lynn Ave, Hamlin, West Virginia and phone number is (304) 824-5806.
Salt Rock Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1942509856. 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) 824-5806.
Primary Care Clinic Profile
| Full Name | Salt Rock Medical Center |
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| Speciality | Clinic/Center |
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| Location | 5490 State Route 10, Salt Rock, West Virginia |
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| Authorized Official Name and Position | Lisa Leach (CEO) |
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| Authorized Official Contact | 3048245806 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Salt Rock Medical Center
7400 Lynn Ave
Hamlin
WV 25523-1138
Ph: (304) 824-5806 | Salt Rock Medical Center
5490 State Route 10
Salt Rock
WV 25559-9736
Ph: (304) 824-5806 |
NPI Details:
| NPI Number | 1942509856 |
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| Provider Enumeration Date | 03/17/2011 |
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| Last Update Date | 03/08/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6204821879 |
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| Medicare Enrollment ID | O20110629000026 |
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Medical Identifiers
Medical identifiers for Salt Rock Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942509856 | NPI | - | NPPES |
| 3810021856 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Salt Rock Medical Center acts as a billing entity for following providers:
| Provider Name | Laura Mae Given |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1992230262
PECOS PAC ID: 0143598656
Enrollment ID: I20200722000990 |
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