| Familycare Health Centers | |
|
1220 Lee St E Ste 201 Charleston WV 25301-1864 | |
| (304) 757-6999 | |
| (304) 201-5019 |
| Full Name | Familycare Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1220 Lee St E Ste 201, Charleston, West Virginia |
| Authorized Official Name and Position | Julie Dianne Ray (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3047576999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Familycare Health Centers 97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816 Ph: (304) 757-6999 | Familycare Health Centers 1220 Lee St E Ste 201 Charleston WV 25301-1864 Ph: (304) 757-6999 |
| NPI Number | 1174106124 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 05/24/2022 |
| Medicare PECOS PAC ID | 4587568134 |
|---|---|
| Medicare Enrollment ID | O20210902002880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174106124 | NPI | - | NPPES |
| 1174106124 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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