| United Technical Center Wellness Center | |
|
251 Marietta St Clarksburg WV 26301-6313 | |
| (304) 924-6262 | |
| (304) 924-5460 |
| Full Name | United Technical Center Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 251 Marietta St, Clarksburg, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3045872541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Technical Center Wellness Center 251 Marietta St Clarksburg WV 26301-6313 Ph: (304) 924-6262 | United Technical Center Wellness Center 251 Marietta St Clarksburg WV 26301-6313 Ph: (304) 924-6262 |
| NPI Number | 1871041335 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 09/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871041335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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