Full Name | |
---|---|
Speciality | Clinic/Center |
Location | Rt 2 Box 320, Elkins, West Virginia |
Authorized Official Name and Position | Sandra J. Elza (CEO) |
Authorized Official Contact | 3043352050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 247 Mill Creek WV 26280-0247 Ph: (304) 335-2050 | Rt 2 Box 320 Elkins WV 26241 Ph: (304) 335-2050 |
NPI Number | 1053760868 |
---|---|
Provider Enumeration Date | 06/13/2016 |
Last Update Date | 10/12/2016 |
Medicare PECOS PAC ID | 6305878034 |
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Medicare Enrollment ID | O20160914000275 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053760868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
West Virginia Gastroenterology & Endoscopy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Main St, Elkins, WV 26241 Phone: 304-637-2360 Fax: 304-637-2362 | |
Valley Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Robert E Lee Ave, Elkins, WV 26241 Phone: 304-335-2050 | |