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47460 Route 52 Kermit WV 25674-8052 | |
(304) 393-6901 | |
(304) 393-6902 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 47460 Route 52, Kermit, West Virginia |
Authorized Official Name and Position | James P Wright (SR. DIRECTOR) |
Authorized Official Contact | 6154657587 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7585 | 47460 Route 52 Kermit WV 25674-8052 Ph: (304) 393-6901 |
NPI Number | 1669882916 |
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Provider Enumeration Date | 05/07/2014 |
Last Update Date | 05/07/2014 |
Identifier | Type | State | Issuer |
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1669882916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Justice Medical Complex Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr Box 330 Us Hwy 52, Kermit, WV 25669 Phone: 304-393-4004 Fax: 304-393-4167 |