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133 E Veterans Memorial Hwy Flemington WV 26347 | |
(304) 739-4867 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 133 E Veterans Memorial Hwy, Flemington, West Virginia |
Authorized Official Name and Position | Patrick D Shaw (CEO) |
Authorized Official Contact | 3042657406 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1 Hospital Plz Grafton WV 26354-1283 Ph: (304) 265-0400 | 133 E Veterans Memorial Hwy Flemington WV 26347 Ph: (304) 739-4867 |
NPI Number | 1679766018 |
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Provider Enumeration Date | 08/20/2007 |
Last Update Date | 12/10/2015 |
Medicare PECOS PAC ID | 7719897263 |
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Medicare Enrollment ID | O20151202001875 |
Identifier | Type | State | Issuer |
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1679766018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |