He White Elementary School Wellness Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Bomont, West Virginia. The current practice location for He White Elementary School Wellness Center is 501 Bomont Rd, Bomont, West Virginia. For appointments, you can reach them via phone at
(304) 548-7101. The mailing address for He White Elementary School Wellness Center is Po Box 217, Rock Cave, West Virginia and phone number is (304) 924-6262.
He White Elementary School Wellness Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1811366248. 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) 548-7101.
Primary Care Clinic Profile
| Full Name | He White Elementary School Wellness Center |
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| Speciality | Clinic/Center |
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| Location | 501 Bomont Rd, Bomont, West Virginia |
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| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING) |
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| Authorized Official Contact | 3045872541 |
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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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He White Elementary School Wellness Center
Po Box 217
Rock Cave
WV 26234-0217
Ph: (304) 924-6262 | He White Elementary School Wellness Center
501 Bomont Rd
Bomont
WV 25030-9666
Ph: (304) 548-7101 |
NPI Details:
| NPI Number | 1811366248 |
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| Provider Enumeration Date | 09/16/2015 |
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| Last Update Date | 09/16/2015 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0446232987 |
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| Medicare Enrollment ID | O20151015001629 |
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Medical Identifiers
Medical identifiers for He White Elementary School Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811366248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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