| Shenandoah Community Health Widmyer Elementary | |
|
128 Widmyer Cir Berkeley Springs WV 25411-1400 | |
| (304) 263-4999 | |
| Not Available |
| Full Name | Shenandoah Community Health Widmyer Elementary |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 Widmyer Cir, Berkeley Springs, West Virginia |
| Authorized Official Name and Position | Michael Hassing (CEO) |
| Authorized Official Contact | 3042634999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Community Health Widmyer Elementary Po Box 1146 Martinsburg WV 25402-1146 Ph: (304) 263-4999 | Shenandoah Community Health Widmyer Elementary 128 Widmyer Cir Berkeley Springs WV 25411-1400 Ph: (304) 263-4999 |
| NPI Number | 1568186153 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/29/2022 |
| Medicare PECOS PAC ID | 9739093097 |
|---|---|
| Medicare Enrollment ID | O20221209002832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568186153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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