| St. Joseph's Hospital Of Buckhannon, Inc. | |
|
94 W Main St Buckhannon WV 26201-2284 | |
| (304) 473-2202 | |
| Not Available |
| Full Name | St. Joseph's Hospital Of Buckhannon, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 94 W Main St, Buckhannon, West Virginia |
| Authorized Official Name and Position | Kathy White (MEDICAL STAFF COORDINATOR) |
| Authorized Official Contact | 3044732066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph's Hospital Of Buckhannon, Inc. 1 Amalia Dr Buckhannon WV 26201-2239 Ph: () - | St. Joseph's Hospital Of Buckhannon, Inc. 94 W Main St Buckhannon WV 26201-2284 Ph: (304) 473-2202 |
| NPI Number | 1780223370 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 6709828163 |
|---|---|
| Medicare Enrollment ID | O20200220002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780223370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Misti D Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609572700 PECOS PAC ID: 2961876040 Enrollment ID: I20230315000327 |
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