Princeton Community Hospital Assn., Inc is a medicare enrolled primary clinic (Family Medicine) in Athens, West Virginia. The current practice location for Princeton Community Hospital Assn., Inc is 401 Vermillion St., Athens, West Virginia. For appointments, you can reach them via phone at
(304) 384-7325. The mailing address for Princeton Community Hospital Assn., Inc is Po Box 697, Athens, West Virginia and phone number is (304) 384-7325.
Princeton Community Hospital Assn., Inc is licensed to practice in West Virginia (license number 20079). The clinic also participates in the medicare program and its
NPI number is 1972610863. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(304) 384-7325.
Primary Care Clinic Profile
| Full Name | Princeton Community Hospital Assn., Inc |
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| Speciality | Family Medicine |
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| Location | 401 Vermillion St., Athens, West Virginia |
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| Authorized Official Name and Position | Omar R Kassem (PHYSICIAN) |
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| Authorized Official Contact | 3043847325 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Princeton Community Hospital Assn., Inc
Po Box 697
Athens
WV 24712-0697
Ph: (304) 384-7325 | Princeton Community Hospital Assn., Inc
401 Vermillion St.
Athens
WV 24712
Ph: (304) 384-7325 |
NPI Details:
| NPI Number | 1972610863 |
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| Provider Enumeration Date | 08/24/2006 |
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| Last Update Date | 12/08/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3678482221 |
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| Medicare Enrollment ID | O20031216000138 |
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Medical Identifiers
Medical identifiers for Princeton Community Hospital Assn., Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972610863 | NPI | - | NPPES |
| 0034866000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 20079 (West Virginia) | Primary |
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