Veterans Health Administration | |
1 Med Center Dr Clarksburg WV 26301-4155 | |
(304) 623-3461 | |
Not Available |
Full Name | Veterans Health Administration |
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Speciality | Clinic/center |
Location | 1 Med Center Dr, Clarksburg, West Virginia |
Authorized Official Name and Position | Letitia Jean Golden (NURSE PRACTITIONER) |
Authorized Official Contact | 3046233461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Veterans Health Administration 1 Med Center Dr Clarksburg WV 26301 Ph: (304) 623-3461 | Veterans Health Administration 1 Med Center Dr Clarksburg WV 26301-4155 Ph: (304) 623-3461 |
NPI Number | 1134679798 |
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Provider Enumeration Date | 10/07/2016 |
Last Update Date | 10/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134679798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 77023 (West Virginia) | Primary |
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