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10 Amalia Dr Suite B-1 Buckhannon WV 26201-2271 | |
(304) 473-2200 | |
(304) 473-2057 |
Full Name | |
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Speciality | General Practice |
Location | 10 Amalia Dr, Buckhannon, West Virginia |
Authorized Official Name and Position | Tony Atkins (CEO) |
Authorized Official Contact | 3044732118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10 Amalia Dr Suite B-1 Buckhannon WV 26201-2271 Ph: (304) 473-2200 | 10 Amalia Dr Suite B-1 Buckhannon WV 26201-2271 Ph: (304) 473-2200 |
NPI Number | 1295756559 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295756559 | NPI | - | NPPES |
0009185000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34 N Kanawha St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-6699 | |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 E Victoria St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-5460 | |