| Agape' Wellness Center & Wound Care, Llc | |
|
Plot 6 Clifton Hill Kingshill VI 00851 | |
| (340) 778-0688 | |
| Not Available |
| Full Name | Agape' Wellness Center & Wound Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | Plot 6 Clifton Hill, Kingshill, Virgin Island |
| Authorized Official Name and Position | Hubert H Watty (OWNER / MANAGER) |
| Authorized Official Contact | 9188693466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape' Wellness Center & Wound Care, Llc P. O. Box 9281 Rte # 2 Kingshill VI 00851 Ph: (340) 778-0688 | Agape' Wellness Center & Wound Care, Llc Plot 6 Clifton Hill Kingshill VI 00851 Ph: (340) 778-0688 |
| NPI Number | 1750429148 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 4688699705 |
|---|---|
| Medicare Enrollment ID | O20051007000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750429148 | NPI | - | NPPES |
| 200046880B | Medicaid | OK | |
| 700522158 | Other | OK | MEDICARE B |
| 200046880A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23898 (Oklahoma) | Primary |
| Provider Name | Hubert H Watty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518904937 PECOS PAC ID: 0042201121 Enrollment ID: I20051011000198 |
Northside Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 252 Estate Glynn, Agape Medical Center, Kingshill, VI 00850 Phone: 340-772-2000 | |
Degraft-johnson Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 6196, Agape Medical Center, Kingshill, VI 00850 Phone: 340-772-2000 Fax: 340-778-9798 | |
School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5a & C Vi Corp Estate, Kingshill, VI 00850 Phone: 340-772-5567 Fax: 340-772-4128 |