| Jane Lew Elementary School Wellness Center | |
|
6536 Main St Jane Lew WV 26378-8505 | |
| (304) 884-2307 | |
| (304) 884-2311 |
| Full Name | Jane Lew Elementary School Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6536 Main St, Jane Lew, West Virginia |
| Authorized Official Name and Position | Dora L Potasnik (CREDENTIALING) |
| Authorized Official Contact | 3045872541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Lew Elementary School Wellness Center Po Box 217 Rock Cave WV 26234-0217 Ph: (304) 924-6262 | Jane Lew Elementary School Wellness Center 6536 Main St Jane Lew WV 26378-8505 Ph: (304) 884-2307 |
| NPI Number | 1851767818 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 08/25/2015 |
| Medicare PECOS PAC ID | 0446232987 |
|---|---|
| Medicare Enrollment ID | O20151001002129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851767818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dr. Brian Hornsby, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 778 Elk City Rd, Jane Lew, WV 26378 Phone: 304-918-8461 | |
Family Medical Clinic Of Jane Lew (epsdt) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Industrial Park Rd, Jane Lew, WV 26378 Phone: 304-884-7880 | |
Lively Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Hackers Creek Rd, Jane Lew, WV 26378 Phone: 304-884-8941 Fax: 304-884-8943 | |
Family Medical Clinic Of Jane Lew Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Industrial Park Road, Jane Lew, WV 26378 Phone: 304-884-7880 Fax: 304-884-8902 | |
Family Medical Clinic Of Jane Lew ( Lab) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Industrial Park Rd, Jane Lew, WV 26378 Phone: 304-884-7880 |