| Sutton Elementary School Wellness Center | |
|
288 N Hill Rd Sutton WV 26601-1225 | |
| (304) 924-6262 | |
| (304) 924-5460 |
| Full Name | Sutton Elementary School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 288 N Hill Rd, Sutton, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3045872541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutton Elementary School Wellness Center 288 N Hill Rd Sutton WV 26601-1225 Ph: (304) 924-6262 | Sutton Elementary School Wellness Center 288 N Hill Rd Sutton WV 26601-1225 Ph: (304) 924-6262 |
| NPI Number | 1750892188 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 10/12/2017 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20180111002647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750892188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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