| Industrial Rehabilitation Center | |
|
313 Maccorkle Ave Sw South Charleston WV 25303-1263 | |
| (304) 744-2300 | |
| (304) 744-8195 |
| Full Name | Industrial Rehabilitation Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 313 Maccorkle Ave Sw, South Charleston, West Virginia |
| Authorized Official Name and Position | Vicki L. Russell-mash (ADMINISTRATOR) |
| Authorized Official Contact | 7404465551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Industrial Rehabilitation Center 90 Jackson Pike Gallipolis OH 45631-1560 Ph: (740) 446-5387 | Industrial Rehabilitation Center 313 Maccorkle Ave Sw South Charleston WV 25303-1263 Ph: (304) 744-2300 |
| NPI Number | 1881645695 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881645695 | NPI | - | NPPES |
| 1036280001 | Other | WV | MEDICARE DMERC |
| 2219576 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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