| Boone Primary Care Clinic | |
|
340 State St Madison WV 25130-1365 | |
| (304) 307-6618 | |
| (304) 307-6619 |
| Full Name | Boone Primary Care Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 340 State St, Madison, West Virginia |
| Authorized Official Name and Position | Wenqing Long (OWNER) |
| Authorized Official Contact | 3043076618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boone Primary Care Clinic 340 State St Madison WV 25130-1365 Ph: (304) 307-6618 | Boone Primary Care Clinic 340 State St Madison WV 25130-1365 Ph: (304) 307-6618 |
| NPI Number | 1578634697 |
|---|---|
| Provider Enumeration Date | 11/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578634697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19477 (West Virginia) | Primary |
Boone Memorial Hospital, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Madison Ave, Madison, WV 25130 Phone: 304-369-1230 Fax: 304-369-6036 | |
Ernesto T.yutiamco,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 483 Main St, Madison, WV 25130 Phone: 304-369-0221 Fax: 304-369-0222 | |
Boone Memorial Hospital, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 697 Madison Avenue, Madison, WV 25130 Phone: 304-369-1230 Fax: 304-369-6036 | |
Madison Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 Main St, Suite 200, Madison, WV 25130 Phone: 304-369-5170 Fax: 304-369-0946 | |
Women Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Riverside Dr W Rm 308309, Madison, WV 25130 Phone: 304-369-4464 | |
Lincoln County Primary Care Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 471 Main St, Madison, WV 25130 Phone: 304-369-5170 Fax: 304-306-7982 |