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1945 E Mount Lookout Rd Mount Lookout WV 26678-9304 | |
(043) 226-5725 | |
(304) 226-3274 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1945 E Mount Lookout Rd, Mount Lookout, West Virginia |
Authorized Official Name and Position | Margaret Hickey (CEO) |
Authorized Official Contact | 3042265725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10003 Webster Rd Camden On Gauley WV 26208-7713 Ph: (043) 226-5725 | 1945 E Mount Lookout Rd Mount Lookout WV 26678-9304 Ph: (043) 226-5725 |
NPI Number | 1972316479 |
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Provider Enumeration Date | 01/29/2025 |
Last Update Date | 01/29/2025 |
Identifier | Type | State | Issuer |
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1972316479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |