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2501 Jackson Ave Point Pleasant WV 25550-2035 | |
(304) 857-0004 | |
(304) 857-0005 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2501 Jackson Ave, Point Pleasant, West Virginia |
Authorized Official Name and Position | Mary-beth N. Brubeck (VP OF FINANCE / CFO) |
Authorized Official Contact | 3045253334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1680 Huntington WV 25717-1680 Ph: (304) 697-1396 | 2501 Jackson Ave Point Pleasant WV 25550-2035 Ph: (304) 857-0004 |
NPI Number | 1912693458 |
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Provider Enumeration Date | 04/17/2023 |
Last Update Date | 04/17/2024 |
Medicare PECOS PAC ID | 9931017969 |
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Medicare Enrollment ID | O20230615003838 |
Identifier | Type | State | Issuer |
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1912693458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Damia Hayman Cfnp Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2415 Jackson Ave, 1b, Point Pleasant, WV 25550 Phone: 304-812-5931 Fax: 304-812-5933 | |
Stephan J Serfontein Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2418 Jefferson Ave, Point Pleasant, WV 25550 Phone: 304-675-6835 Fax: 304-675-6849 |