| Southern West Virignia Health System-gilbert | |
|
202 Larry Joe Harless Drive Suite 205 Gilbert WV 25621-1842 | |
| (304) 664-6270 | |
| (304) 664-6272 |
| Full Name | Southern West Virignia Health System-gilbert |
|---|---|
| Speciality | Clinic/Center |
| Location | 202 Larry Joe Harless Drive, Gilbert, West Virginia |
| Authorized Official Name and Position | Lisa Leach (CEO) |
| Authorized Official Contact | 3048245806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern West Virignia Health System-gilbert 7400 Lynn Ave Hamlin WV 25523-1138 Ph: (304) 824-5806 | Southern West Virignia Health System-gilbert 202 Larry Joe Harless Drive Suite 205 Gilbert WV 25621-1842 Ph: (304) 664-6270 |
| NPI Number | 1942523931 |
|---|---|
| Provider Enumeration Date | 03/05/2010 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 6204821879 |
|---|---|
| Medicare Enrollment ID | O20100612000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942523931 | NPI | - | NPPES |
| 3810019387 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Family Healthcare Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6th Avenue & Vinus Street, Family Healthcare Associates Inc, Gilbert, WV 25621 Phone: 304-664-5699 Fax: 304-664-5031 | |
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