| Hilsbos Family Care, Pllc | |
|
5 Erwin Ln Ste B Fairmont WV 26554-1376 | |
| (304) 612-9186 | |
| (304) 366-7763 |
| Full Name | Hilsbos Family Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Erwin Ln Ste B, Fairmont, West Virginia |
| Authorized Official Name and Position | Kenneth Hilsbos (SOLE MEMBER) |
| Authorized Official Contact | 3043667766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hilsbos Family Care, Pllc 5 Erwin Ln Ste B Fairmont WV 26554-1376 Ph: (304) 612-9186 | Hilsbos Family Care, Pllc 5 Erwin Ln Ste B Fairmont WV 26554-1376 Ph: (304) 612-9186 |
| NPI Number | 1134151228 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 06/21/2021 |
| Medicare PECOS PAC ID | 9830123009 |
|---|---|
| Medicare Enrollment ID | O20050927000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134151228 | NPI | - | NPPES |
| 3810003579 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth Hilsbos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912922980 PECOS PAC ID: 3678536935 Enrollment ID: I20041202000119 |
Marion County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 2nd St, Fairmont, WV 26554 Phone: 304-366-3360 Fax: 304-363-8217 | |
Anjaneyulu Thagirisa, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1539 Country Club Rd, Fairmont, WV 26554 Phone: 304-367-0043 | |
Fairmont Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 | |
Manchin Clinic South, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Middletown Circle, Fairmont, WV 26554 Phone: 304-367-9170 Fax: 304-367-9180 | |
Fairmont State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Locust Ave Fl 3, Fairmont, WV 26554 Phone: 304-367-4155 | |
Mohamad Arja Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Gaston Ave, Fairmont, WV 26554 Phone: 304-367-0012 Fax: 304-366-1092 |