| Maxim Healthcare Services, Inc | |
|
900 Virginia St E Ste 400 Charleston WV 25301-2835 | |
| (681) 313-4759 | |
| Not Available |
| Full Name | Maxim Healthcare Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 900 Virginia St E Ste 400, Charleston, West Virginia |
| Authorized Official Name and Position | David Kowalczyk (CONTROLLER) |
| Authorized Official Contact | 4109101500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxim Healthcare Services, Inc 7227 Lee Deforest Dr Columbia MD 21046-3236 Ph: () - | Maxim Healthcare Services, Inc 900 Virginia St E Ste 400 Charleston WV 25301-2835 Ph: (681) 313-4759 |
| NPI Number | 1649845587 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649845587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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