| Bridgeport High School Wellness Center | |
|
515 Johnston Avenue Bridgeport WV 26330-1311 | |
| (304) 326-7137 | |
| (304) 587-2594 |
| Full Name | Bridgeport High School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 515 Johnston Avenue, Bridgeport, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING) |
| Authorized Official Contact | 3045872541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport High School Wellness Center Po Box 147 Clay WV 25043-0147 Ph: (304) 587-2541 | Bridgeport High School Wellness Center 515 Johnston Avenue Bridgeport WV 26330-1311 Ph: (304) 326-7137 |
| NPI Number | 1326434846 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 04/10/2015 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20150528000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326434846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Medbrook Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Johnson Avenue, Bridgeport, WV 26330 Phone: 304-842-7186 Fax: 304-842-9005 |
Community Care of Bridgeport Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Market Pl, Bridgeport, WV 26330 Phone: 304-848-5770 Fax: 304-848-0890 |
Mountainstate Infectious Disease Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 W Main St Ste B, Bridgeport, WV 26330 Phone: 301-641-1822 Fax: 304-250-9933 |
Uhc Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330 Phone: 681-342-3600 Fax: 681-342-3625 |
Uhc Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 Medical Park Dr Ste 402, Bridgeport, WV 26330 Phone: 681-342-3690 |
Bridgeport Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Johnson Ave, Suite 1100, Bridgeport, WV 26330 Phone: 304-848-0338 |