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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Bridgeport, West Virginia. The current practice location for is 250 Worthington Dr, Bridgeport, West Virginia. For appointments, you can reach them via phone at (304) 326-7060. The mailing address for is Po Box 217, Rock Cave, West Virginia and phone number is (304) 924-6262.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700252764. 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) 326-7060.

Contact Information


	250 Worthington Dr Bridgeport WV 26330-1449
	(304) 326-7060
	(304) 924-5460

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	250 Worthington Dr, Bridgeport, West Virginia
Authorized Official Name and Position	Dora L Potasnik (CREDENTIALING)
Authorized Official Contact	3045872541
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 217 Rock Cave WV 26234-0217 Ph: (304) 924-6262	250 Worthington Dr Bridgeport WV 26330-1449 Ph: (304) 326-7060

NPI Details:

NPI Number	1700252764
Provider Enumeration Date	08/13/2015
Last Update Date	08/18/2015

Medicare PECOS Information:

Medicare PECOS PAC ID	0446232987
Medicare Enrollment ID	O20150930002383

Medical Identifiers

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

Identifier	Type	State	Issuer
1700252764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Bridgeport, WV

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- Medicare Primary Care in Bridgeport, WV