| Shirey & Shirey M C | |
|
17 Red Oaks Shopping Ctr Ronceverte WV 24970-1348 | |
| (304) 645-1117 | |
| (304) 645-1148 |
| Full Name | Shirey & Shirey M C |
|---|---|
| Speciality | Internal Medicine |
| Location | 17 Red Oaks Shopping Ctr, Ronceverte, West Virginia |
| Authorized Official Name and Position | Robert A Shirey (PRESIDENT) |
| Authorized Official Contact | 3046451117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirey & Shirey M C 17 Red Oaks Shopping Ctr Ronceverte WV 24970-1348 Ph: (304) 645-1117 | Shirey & Shirey M C 17 Red Oaks Shopping Ctr Ronceverte WV 24970-1348 Ph: (304) 645-1117 |
| NPI Number | 1295880391 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 02/22/2011 |
| Medicare PECOS PAC ID | 0446431563 |
|---|---|
| Medicare Enrollment ID | O20110223000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295880391 | NPI | - | NPPES |
| 110049472 | Other | WV | MEDICARE RAIL ROAD NUMBER |
| 1306544SHIR | Other | WV | UMWA NUMBER |
| 0084194000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00855 (West Virginia) | Primary |
| Provider Name | Robert Arleigh Shirey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720073828 PECOS PAC ID: 5294916318 Enrollment ID: I20110223000331 |
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