| Justice Medical Complex | |
|
Rr Box 330 Us Hwy 52 Kermit WV 25669 | |
| (304) 393-4004 | |
| (304) 393-4167 |
| Full Name | Justice Medical Complex |
|---|---|
| Speciality | Family Medicine |
| Location | Rr Box 330 Us Hwy 52, Kermit, West Virginia |
| Authorized Official Name and Position | Debra Justice (OWNER) |
| Authorized Official Contact | 3043934004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justice Medical Complex Po Box 837 Kermit WV 25674-0837 Ph: (304) 393-4004 | Justice Medical Complex Rr Box 330 Us Hwy 52 Kermit WV 25669 Ph: (304) 393-4004 |
| NPI Number | 1356426944 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356426944 | NPI | - | NPPES |
| 65944621 | Medicaid | KY | |
| 3810004168 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21730 (West Virginia) | Primary |
Williamson Health & Wellness Center Kermit Pk8 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Blue Devil Lane, Kermit, WV 25661 Phone: 304-236-5902 Fax: 304-235-7041 | |
Three Rivers Family Practice-crum Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47460 Route 52, Kermit, WV 25674 Phone: 304-393-6901 Fax: 304-393-6902 |