New River Health - Summersville | |
315 Fairview Heights Rd Summersville WV 26651-1086 | |
(304) 469-2905 | |
(304) 465-5486 |
Full Name | New River Health - Summersville |
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Speciality | Clinic/Center |
Location | 315 Fairview Heights Rd, Summersville, West Virginia |
Authorized Official Name and Position | Marissa Johnson (CREDENTIALING) |
Authorized Official Contact | 3044692905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New River Health - Summersville 497 Mall Rd Oak Hill WV 25901-6216 Ph: (304) 469-2905 | New River Health - Summersville 315 Fairview Heights Rd Summersville WV 26651-1086 Ph: (304) 469-2905 |
NPI Number | 1407394646 |
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Provider Enumeration Date | 02/08/2017 |
Last Update Date | 10/09/2023 |
Medicare PECOS PAC ID | 2365348596 |
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Medicare Enrollment ID | O20170505001123 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407394646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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