| Rainelle Medical Center, Inc. | |
|
101 Railroad Avenue Alderson WV 24910-0740 | |
| (304) 438-6188 | |
| (304) 438-4037 |
| Full Name | Rainelle Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Railroad Avenue, Alderson, West Virginia |
| Authorized Official Name and Position | Debra J Bennett (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044386188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainelle Medical Center, Inc. 645 Kanawha Ave Rainelle WV 25962-1013 Ph: (304) 438-6188 | Rainelle Medical Center, Inc. 101 Railroad Avenue Alderson WV 24910-0740 Ph: (304) 438-6188 |
| NPI Number | 1740589746 |
|---|---|
| Provider Enumeration Date | 03/17/2011 |
| Last Update Date | 03/19/2025 |
| Medicare PECOS PAC ID | 7416861810 |
|---|---|
| Medicare Enrollment ID | O20120328000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740589746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |