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3 E Benjamin Dr New Martinsville WV 26155-2705 | |
(304) 455-8000 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 3 E Benjamin Dr, New Martinsville, West Virginia |
Authorized Official Name and Position | David F Hess (PRESIDENT & CEO) |
Authorized Official Contact | 3044558000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3 E Benjamin Dr New Martinsville WV 26155-2705 Ph: (304) 455-8000 | 3 E Benjamin Dr New Martinsville WV 26155-2705 Ph: (304) 455-8000 |
NPI Number | 1255963120 |
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Provider Enumeration Date | 02/10/2020 |
Last Update Date | 10/21/2023 |
Medicare PECOS PAC ID | 4284065400 |
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Medicare Enrollment ID | O20200530000050 |
Identifier | Type | State | Issuer |
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1255963120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |