| Sistersville Rural Health Clinic | |
|
305 Clay St Sistersville WV 26175 | |
| (304) 447-2038 | |
| (304) 447-3990 |
| Full Name | Sistersville Rural Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 305 Clay St, Sistersville, West Virginia |
| Authorized Official Name and Position | Brandon W Chadock (AO) |
| Authorized Official Contact | 3046522611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sistersville Rural Health Clinic 314 S Wells St Sistersville WV 26175-1098 Ph: (304) 652-2611 | Sistersville Rural Health Clinic 305 Clay St Sistersville WV 26175 Ph: (304) 447-2038 |
| NPI Number | 1710203419 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710203419 | NPI | - | NPPES |
| 3810018439 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 513412 (West Virginia) | Primary |
Sistersville Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Clay St, Sistersville, WV 26175 Phone: 304-447-2038 Fax: 304-447-3990 |