| Sissonville Health Center | |
|
7133 Sissonville Dr Sissonville WV 25320-9738 | |
| (304) 984-1576 | |
| Not Available |
| Full Name | Sissonville Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7133 Sissonville Dr, Sissonville, West Virginia |
| Authorized Official Name and Position | Craig H. Robinson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3047342040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sissonville Health Center 7133 Sissonville Dr Sissonville WV 25320-9738 Ph: (304) 984-1576 | Sissonville Health Center 7133 Sissonville Dr Sissonville WV 25320-9738 Ph: (304) 984-1576 |
| NPI Number | 1801836341 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 06/11/2015 |
| Medicare PECOS PAC ID | 2466431101 |
|---|---|
| Medicare Enrollment ID | O20060825000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801836341 | NPI | - | NPPES |
| 3810005146 | Medicaid | WV | |
| 3810006994 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 031820 (West Virginia) | Primary |
Sissonville Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7133 Sissonville Dr, Sissonville, WV 25320 Phone: 304-734-2040 Fax: 304-734-2047 |