Wood Health Care Clinic Pc | |
1307 Lafayette Avenue Moundsvillle WV 26041-2316 | |
(304) 845-2500 | |
(304) 845-2624 |
Full Name | Wood Health Care Clinic Pc |
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Speciality | General Practice |
Location | 1307 Lafayette Avenue, Moundsvillle, West Virginia |
Authorized Official Name and Position | Ralph E Wood (EMPLOYER) |
Authorized Official Contact | 3048452500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wood Health Care Clinic Pc 1307 Lafayette Avenue Moundsville WV 26041-2316 Ph: (304) 845-2500 | Wood Health Care Clinic Pc 1307 Lafayette Avenue Moundsvillle WV 26041-2316 Ph: (304) 845-2500 |
NPI Number | 1386711554 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0749265353 |
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Medicare Enrollment ID | O20040622000986 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386711554 | NPI | - | NPPES |
0008910000 | Medicaid | WV | |
0995071 | Medicaid | OH | |
0008910001 | Other | WV | LAB NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Gregory K Wood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740243013 PECOS PAC ID: 0042295198 Enrollment ID: I20070207000309 |
Provider Name | Kristy Lynn Dobson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801184833 PECOS PAC ID: 2365614278 Enrollment ID: I20111018000494 |
Provider Name | Jessica E Stolz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003093790 PECOS PAC ID: 0244405553 Enrollment ID: I20150401000607 |
Provider Name | Sheila Mae Weese |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114466208 PECOS PAC ID: 8123385739 Enrollment ID: I20171206000776 |
Provider Name | Sarah Nally |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295456317 PECOS PAC ID: 5799140547 Enrollment ID: I20230429000097 |