| St Francis West Health Care, Inc | |
|
121 Washington St W Charleston WV 25302-2343 | |
| (304) 345-2273 | |
| (304) 345-2279 |
| Full Name | St Francis West Health Care, Inc |
|---|---|
| Speciality | Radiologic Technologist |
| Location | 121 Washington St W, Charleston, West Virginia |
| Authorized Official Name and Position | Adla Adi (PRESIDENT) |
| Authorized Official Contact | 3043452273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Francis West Health Care, Inc Po Box 6549 Charleston WV 25362-0549 Ph: (304) 345-2273 | St Francis West Health Care, Inc 121 Washington St W Charleston WV 25302-2343 Ph: (304) 345-2273 |
| NPI Number | 1720083975 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720083975 | NPI | - | NPPES |
| 0002101000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 09228 (West Virginia) | Primary |
| 247100000X | Radiologic Technologist | 1825 (West Virginia) | Primary |
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