| Eastridge Health Systems | |
|
235 S Water St Martinsburg WV 25401-4241 | |
| (304) 263-8954 | |
| (304) 264-0763 |
| Full Name | Eastridge Health Systems |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 235 S Water St, Martinsburg, West Virginia |
| Authorized Official Name and Position | Rita Quinn (CEO/PRESIDENT) |
| Authorized Official Contact | 3042638954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastridge Health Systems 235 S Water St Martinsburg WV 25401-4241 Ph: (304) 263-8954 | Eastridge Health Systems 235 S Water St Martinsburg WV 25401-4241 Ph: (304) 263-8954 |
| NPI Number | 1093135584 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093135584 | NPI | - | NPPES |
| 0023817001 | Medicaid | WV | |
| 0023817002 | Medicaid | WV | |
| 3810012620 | Medicaid | WV | |
| 3810022967 | Medicaid | WV | |
| 0023817000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1022-6441 (West Virginia) | Primary |
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