| Tennerton Elementary School Wellness Center | |
|
167 Gawthrop Rd Buckhannon WV 26201-3927 | |
| (304) 473-5690 | |
| (304) 473-5692 |
| Full Name | Tennerton Elementary School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 167 Gawthrop Rd, Buckhannon, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING) |
| Authorized Official Contact | 3043177275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennerton Elementary School Wellness Center Po Box 217 Rock Cave WV 26234-0217 Ph: (304) 924-6262 | Tennerton Elementary School Wellness Center 167 Gawthrop Rd Buckhannon WV 26201-3927 Ph: (304) 473-5690 |
| NPI Number | 1811366248 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20151015001629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811366248 | NPI | - | NPPES |
| 2468-5535 | Other | WV | WV STATE TAX DEPT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Community Care Connections of Buckhannon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34 N Kanawha St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-6699 |
Buckhannon-upshur High School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Bu Dr, Buckhannon, WV 26201 Phone: 304-472-3720 Fax: 304-472-0772 |
Carexpress of Buckhannon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 W Main St, Buckhannon, WV 26201 Phone: 304-473-5600 Fax: 304-472-1341 |
Upshur County Pals Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 E Victoria St, Buckhannon, WV 26201 Phone: 304-924-6262 Fax: 304-924-5460 |
Community Care Pediatrics of Buckhannon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Northridge Dr Ste 118, Buckhannon, WV 26201 Phone: 304-473-5660 Fax: 304-473-5661 |
St. Joseph's Physician Group 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 |