| Seneca Health Services | |
|
804 Industrial Park Rd Ste 1 Maxwelton WV 24957-8066 | |
| (304) 497-0500 | |
| (304) 497-0516 |
| Full Name | Seneca Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 804 Industrial Park Rd Ste 1, Maxwelton, West Virginia |
| Authorized Official Name and Position | Julie Clutter (VP FINANCE/CFO) |
| Authorized Official Contact | 3048726503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seneca Health Services 131 Wellness Dr Summersville WV 26651-5402 Ph: (304) 872-6503 | Seneca Health Services 804 Industrial Park Rd Ste 1 Maxwelton WV 24957-8066 Ph: (304) 497-0500 |
| NPI Number | 1972984490 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972984490 | NPI | - | NPPES |
| 1154532513 | Medicaid | WV | |
| 1245441609 | Medicaid | WV | |
| 1518953652 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 76369 (West Virginia) | Primary |
Seneca Health Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 Fax: 304-497-0516 | |
Seneca Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 Fax: 304-497-0516 | |
Seneca Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 Fax: 304-497-0516 | |
Seneca Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 Fax: 304-497-0516 |