Spectrum Family Care, Pllc | |
1401 Hospital Dr Suite 306 Hurricane WV 25526-9237 | |
(304) 397-5744 | |
(304) 757-0964 |
Full Name | Spectrum Family Care, Pllc |
---|---|
Speciality | Family Medicine |
Location | 1401 Hospital Dr, Hurricane, West Virginia |
Authorized Official Name and Position | Angela D Sizemore (BUSINESS OFFICE DIRECTOR) |
Authorized Official Contact | 3043975744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spectrum Family Care, Pllc 1401 Hospital Dr Suite 306 Hurricane WV 25526-9237 Ph: (304) 397-5744 | Spectrum Family Care, Pllc 1401 Hospital Dr Suite 306 Hurricane WV 25526-9237 Ph: (304) 397-5744 |
NPI Number | 1194045237 |
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Provider Enumeration Date | 06/10/2010 |
Last Update Date | 09/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194045237 | NPI | - | NPPES |
3810018383 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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