| Bruceton Family Medicine Llc | |
|
198 Morgantown St Ste 2 Bruceton Mills WV 26525 | |
| (304) 379-7600 | |
| (304) 379-7599 |
| Full Name | Bruceton Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 198 Morgantown St Ste 2, Bruceton Mills, West Virginia |
| Authorized Official Name and Position | Alysia Funk (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 3043797600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruceton Family Medicine Llc Po Box 442 Bruceton Mills WV 26525-0442 Ph: (304) 379-7600 | Bruceton Family Medicine Llc 198 Morgantown St Ste 2 Bruceton Mills WV 26525 Ph: (304) 379-7600 |
| NPI Number | 1295228161 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295228161 | NPI | - | NPPES |
| 3810029631 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 52464 (West Virginia) | Primary |
| 207Q00000X | Family Medicine | 81124 (West Virginia) | Secondary |
Mountain Laurel Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 198 Morgantown St Ste 2, Bruceton Mills, WV 26525 Phone: 301-533-3300 Fax: 301-533-3299 | |
Bruceton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Morgantown Street, Suite B, Bruceton Mills, WV 26525 Phone: 304-379-7600 Fax: 304-379-7599 | |
Harned Memorial Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: One Memorial Drive, Rt 26 North, Bruceton Mills, WV 26525 Phone: 304-379-2114 Fax: 304-379-7929 |