| Benwood Medical Clinic Inc | |
|
4850 Eoff St Benwood WV 26031-1008 | |
| (304) 233-1656 | |
| (304) 233-1667 |
| Full Name | Benwood Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4850 Eoff St, Benwood, West Virginia |
| Authorized Official Name and Position | Lawrence Charles Kelly (PRESIDENT OWNER) |
| Authorized Official Contact | 3042331656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benwood Medical Clinic Inc 4850 Eoff St Benwood WV 26031-1008 Ph: (304) 233-1656 | Benwood Medical Clinic Inc 4850 Eoff St Benwood WV 26031-1008 Ph: (304) 233-1656 |
| NPI Number | 1497861819 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497861819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |