Twin States Family Care Center | |
Highway 102 Wolfe WV 24751 | |
(304) 248-8096 | |
(304) 248-8096 |
Full Name | Twin States Family Care Center |
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Speciality | Family Medicine |
Location | Highway 102, Wolfe, West Virginia |
Authorized Official Name and Position | Reynaldo Jose (OWNER) |
Authorized Official Contact | 3042488096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Twin States Family Care Center Po Box 19 Nemours WV 24738-0019 Ph: (304) 248-8096 | Twin States Family Care Center Highway 102 Wolfe WV 24751 Ph: (304) 248-8096 |
NPI Number | 1003907676 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003907676 | NPI | - | NPPES |
0048928000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11738WV (West Virginia) | Primary |