| Alum Creek Medical Center, Inc. | |
|
2150 Childress Road Alum Creek WV 25003 | |
| (304) 756-9001 | |
| (304) 756-2081 |
| Full Name | Alum Creek Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2150 Childress Road, Alum Creek, West Virginia |
| Authorized Official Name and Position | Scott Franklin Smith (PRESIDENT) |
| Authorized Official Contact | 3047569001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alum Creek Medical Center, Inc. 2150 Childress Road Po Box 40 Alum Creek WV 25003-2150 Ph: (304) 756-9001 | Alum Creek Medical Center, Inc. 2150 Childress Road Alum Creek WV 25003 Ph: (304) 756-9001 |
| NPI Number | 1831283381 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 02/23/2010 |
| Medicare PECOS PAC ID | 5496718348 |
|---|---|
| Medicare Enrollment ID | O20041110001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831283381 | NPI | - | NPPES |
| 0042109000 | Medicaid | WV | |
| 001710389 | Other | WV | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1203 (West Virginia) | Primary |
| Provider Name | Scott F Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609906726 PECOS PAC ID: 3274668744 Enrollment ID: I20100323000407 |
Mustang Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 267 Midway Rd, Alum Creek, WV 25003 Phone: 304-756-1007 Fax: 304-756-1010 |