| Parkersburg Treatment Center, Llc | |
|
184 Holiday Hills Drive Parkersburg WV 26104-8006 | |
| (304) 420-2400 | |
| (304) 420-9014 |
| Full Name | Parkersburg Treatment Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 184 Holiday Hills Drive, Parkersburg, West Virginia |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkersburg Treatment Center, Llc 6183 Paseo Del Norte, Ste 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | Parkersburg Treatment Center, Llc 184 Holiday Hills Drive Parkersburg WV 26104-8006 Ph: (304) 420-2400 |
| NPI Number | 1396756078 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Medicare PECOS PAC ID | 3678907235 |
|---|---|
| Medicare Enrollment ID | O20230525001642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396756078 | NPI | - | NPPES |
| Provider Name | Ellen R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154368447 PECOS PAC ID: 6507818150 Enrollment ID: I20050211000501 |
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