| 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 |
| Location | 243 W Main St, Bridgeport, West Virginia |
| Authorized Official Name and Position | Nancy Ann Rush (OWNER) |
| Authorized Official Contact | 3048428852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 | 1982794228 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8729018569 |
|---|---|
| Medicare Enrollment ID | O20050822000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982794228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (West Virginia) | Primary |
| Provider Name | Nancy A Rush |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760568026 PECOS PAC ID: 4981634722 Enrollment ID: I20241022003859 |
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