| Summersville Regional Medical Center | |
|
400 Fairview Heights Rd Summersville WV 26651-9308 | |
| (304) 872-8402 | |
| (304) 872-6854 |
| Full Name | Summersville Regional Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 400 Fairview Heights Rd, Summersville, West Virginia |
| Authorized Official Name and Position | Deborah A Kincell (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 3048830220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summersville Regional Medical Center 400 Fairview Heights Rd Summersville WV 26651-9308 Ph: (304) 872-8402 | Summersville Regional Medical Center 400 Fairview Heights Rd Summersville WV 26651-9308 Ph: (304) 872-8402 |
| NPI Number | 1407031446 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 03/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407031446 | NPI | - | NPPES |
| 0034931000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 61 (West Virginia) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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