| Bluestone Family Practice | |
|
701 Bland St Bluefield WV 24701-3503 | |
| (304) 800-5413 | |
| (304) 325-5803 |
| Full Name | Bluestone Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 Bland St, Bluefield, West Virginia |
| Authorized Official Name and Position | Linda Hutchens (CEO) |
| Authorized Official Contact | 3044315499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluestone Family Practice 3997 Beckley Rd Princeton WV 24740-7660 Ph: (304) 431-5499 | Bluestone Family Practice 701 Bland St Bluefield WV 24701-3503 Ph: (304) 800-5413 |
| NPI Number | 1770950396 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Medicare PECOS PAC ID | 3577505221 |
|---|---|
| Medicare Enrollment ID | O20151021003313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770950396 | NPI | - | NPPES |
| 3910007244 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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