| Progressive Preventive Health Care, Inc | |
|
243 W Main St Bridgeport WV 26330-1748 | |
| (304) 842-8852 | |
| (304) 842-8853 |
| Full Name | Progressive Preventive Health Care, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 243 W Main St, Bridgeport, West Virginia |
| Authorized Official Name and Position | Nancy Ann Rush (OWNER/OPERATOR) |
| Authorized Official Contact | 3048428852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Preventive Health Care, Inc 243 W Main St Bridgeport WV 26330-1748 Ph: (304) 842-8852 | Progressive Preventive Health Care, Inc 243 W Main St Bridgeport WV 26330-1748 Ph: (304) 842-8852 |
| NPI Number | 1659351534 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659351534 | NPI | - | NPPES |
| 5564563 | Other | WV | AETNA |
| Y 485146 | Other | WV | HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CP 00453683 (West Virginia) | Primary |
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