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3 E Benjamin Dr Ste B New Martinsville WV 26155-2705 | |
(304) 455-8082 | |
(304) 455-8165 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 3 E Benjamin Dr Ste B, New Martinsville, West Virginia |
Authorized Official Name and Position | Edwin Szewczyk (CFO) |
Authorized Official Contact | 3044558013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3 E Benjamin Dr Ste B New Martinsville WV 26155-2705 Ph: (304) 455-8082 | 3 E Benjamin Dr Ste B New Martinsville WV 26155-2705 Ph: (304) 455-8082 |
NPI Number | 1609272343 |
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Provider Enumeration Date | 11/07/2014 |
Last Update Date | 11/07/2014 |
Identifier | Type | State | Issuer |
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1609272343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |