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800 20th St Huntington WV 25703-1850 | |
| (304) 696-8700 | |
| (304) 696-8701 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 800 20th St, Huntington, West Virginia |
| Authorized Official Name and Position | Richard Weinberger (CFO) |
| Authorized Official Contact | 3045253334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2585 3rd Ave Huntington WV 25703-1642 Ph: (304) 697-1396 | 800 20th St Huntington WV 25703-1850 Ph: (304) 696-8700 |
| NPI Number | 1699257386 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 08/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699257386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (West Virginia) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |
Tri-state Private Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2547 3rd Ave, Huntington, WV 25703 Phone: 304-638-9128 | |
Valley Health Systems, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4270 Us Route 60, Huntington, WV 25705 Phone: 304-781-5001 Fax: 304-781-5002 | |
Valley Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 3rd Ave, Huntington, WV 25703 Phone: 304-697-1396 Fax: 304-697-2086 | |
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