| Family Health Associates | |
|
509 2nd Ave South Charleston WV 25303-1310 | |
| (304) 720-3555 | |
| (304) 720-3556 |
| Full Name | Family Health Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 509 2nd Ave, South Charleston, West Virginia |
| Authorized Official Name and Position | Julie Ann Detemple (MANAGER, OWNER) |
| Authorized Official Contact | 3047203555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Associates 509 2nd Ave South Charleston WV 25303-1310 Ph: (304) 720-3555 | Family Health Associates 509 2nd Ave South Charleston WV 25303-1310 Ph: (304) 720-3555 |
| NPI Number | 1174686463 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Medicare PECOS PAC ID | 2466553391 |
|---|---|
| Medicare Enrollment ID | O20070723000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174686463 | NPI | - | NPPES |
| Provider Name | Howard W Lafferty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508066648 PECOS PAC ID: 8729145891 Enrollment ID: I20090318000188 |
| Provider Name | Julie A Detemple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376505206 PECOS PAC ID: 2264533199 Enrollment ID: I20110110000102 |
| Provider Name | Rachel P Brill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831573070 PECOS PAC ID: 3870801491 Enrollment ID: I20151001001055 |
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