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50 Panther Blvd Williamson WV 25661-7441 | |
(304) 236-5902 | |
(855) 487-4047 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 50 Panther Blvd, Williamson, West Virginia |
Authorized Official Name and Position | Christopher Donovan Beckett (CEO) |
Authorized Official Contact | 3042365902 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2080 Williamson WV 25661-2080 Ph: (304) 236-5902 | 50 Panther Blvd Williamson WV 25661-7441 Ph: (304) 236-5902 |
NPI Number | 1699321729 |
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Provider Enumeration Date | 08/14/2019 |
Last Update Date | 10/13/2022 |
Identifier | Type | State | Issuer |
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1699321729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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