| West Portsmouth Family Practice | |
|
23030 State Route 73 West Portsmouth OH 45663-8861 | |
| (740) 858-1063 | |
| Not Available |
| Full Name | West Portsmouth Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 23030 State Route 73, West Portsmouth, Ohio |
| Authorized Official Name and Position | Keith Eric Pitts (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7402892371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Portsmouth Family Practice 941 Market St Piketon OH 45661-9757 Ph: (740) 289-2371 | West Portsmouth Family Practice 23030 State Route 73 West Portsmouth OH 45663-8861 Ph: (740) 858-1063 |
| NPI Number | 1003908930 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 10/01/2020 |
| Medicare PECOS PAC ID | 3173432762 |
|---|---|
| Medicare Enrollment ID | O20101201000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003908930 | NPI | - | NPPES |
| 2081349 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
James H Duncan Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22442 State Route 73, West Portsmouth, OH 45663 Phone: 740-858-6656 Fax: 740-858-5413 | |
Monarch Health And Recovery Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22664 State Route 73, West Portsmouth, OH 45663 Phone: 740-858-6656 Fax: 740-858-5412 |