| Central Wv Medcorp, Inc. | |
|
11 N Locust St Buckhannon WV 26201-2231 | |
| (304) 472-1600 | |
| (304) 472-6382 |
| Full Name | Central Wv Medcorp, Inc. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 11 N Locust St, Buckhannon, West Virginia |
| Authorized Official Name and Position | Rebecca Jean Hammer (CFO) |
| Authorized Official Contact | 3046373156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Wv Medcorp, Inc. Po Box 2630 Elkins WV 26241-2630 Ph: (304) 637-3736 | Central Wv Medcorp, Inc. 11 N Locust St Buckhannon WV 26201-2231 Ph: (304) 472-1600 |
| NPI Number | 1275558017 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275558017 | NPI | - | NPPES |
| 3810010990 | Medicaid | WV | |
| 000897320 | Other | WV | MT ST BCBS GROUP NUMBER |
| 151585801 | Other | WV | DOL FEDERAL BLACK LUNG PR |
| 001710531 | Other | WV | MT ST BCBS PAC PAY TO # |
| 020935300 | Other | WV | DOL FEDERAL BLACK LUNG PR |
| 0009078000 | Medicaid | WV | |
| 020935302 | Other | WV | DOL FEDERAL BLACK LUNG PR |
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Upshur Medical Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Amalia Dr, Suite B-1, Buckhannon, WV 26201 Phone: 304-473-2200 Fax: 304-473-2057 |