| Vigo Family Healthcare | |
|
40 Shae Ave Chapmanville WV 25508-9805 | |
| (304) 855-2211 | |
| (304) 855-2213 |
| Full Name | Vigo Family Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Shae Ave, Chapmanville, West Virginia |
| Authorized Official Name and Position | Tomas E. Vigo Paredes (OWNER) |
| Authorized Official Contact | 3047563143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vigo Family Healthcare 132 Gilchrist Ave Tornado WV 25202-9640 Ph: (304) 756-3143 | Vigo Family Healthcare 40 Shae Ave Chapmanville WV 25508-9805 Ph: (304) 855-2211 |
| NPI Number | 1700196615 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 04/01/2011 |
| Medicare PECOS PAC ID | 1254515992 |
|---|---|
| Medicare Enrollment ID | O20110405000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700196615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17682 (West Virginia) | Primary |
| Provider Name | Tomas E Vigo Paredes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851395834 PECOS PAC ID: 3678561602 Enrollment ID: I20040506000197 |
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