| Womencare, Inc | |
|
515 Main St Madison WV 25130-1417 | |
| (304) 369-0393 | |
| Not Available |
| Full Name | Womencare, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 515 Main St, Madison, 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 |
|---|---|
| Womencare, Inc 97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816 Ph: (304) 757-9999 | Womencare, Inc 515 Main St Madison WV 25130-1417 Ph: (304) 369-0393 |
| NPI Number | 1740450089 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 05/24/2022 |
| Medicare PECOS PAC ID | 4587568134 |
|---|---|
| Medicare Enrollment ID | O20061127000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740450089 | NPI | - | NPPES |
| 1740450089 | Medicaid | WV | |
| 001710197 | Other | WV | MS BCBS |
| 001710198 | Other | WV | MS BCBS |
| 3810011881 | Medicaid | WV | |
| C15043 | Other | WV | RR MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Boone Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 State St, Madison, WV 25130 Phone: 304-307-6618 Fax: 304-307-6619 | |
Madison Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 Main St, Suite 200, Madison, WV 25130 Phone: 304-369-5170 Fax: 304-369-0946 | |
Women Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Riverside Dr W Rm 308309, Madison, WV 25130 Phone: 304-369-4464 | |
Southern West Virginia Health System-madison Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 471 Main St, Madison, WV 25130 Phone: 304-369-5170 Fax: 304-306-7982 |