| Southern Bluestone Health Center | |
|
200 12th Street Ext Princeton WV 24740-2329 | |
| (304) 431-5499 | |
| (304) 431-3400 |
| Full Name | Southern Bluestone Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 200 12th Street Ext, Princeton, West Virginia |
| Authorized Official Name and Position | Linda Hutchens (CEO) |
| Authorized Official Contact | 3044315499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Bluestone Health Center 200 12th Street Ext Princeton WV 24740-2329 Ph: (304) 431-5499 | Southern Bluestone Health Center 200 12th Street Ext Princeton WV 24740-2329 Ph: (304) 431-5499 |
| NPI Number | 1912377813 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912377813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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