| Southern West Virginia Health System-chapmanville | |
|
40 Shae Ave Chapmanville WV 25508-9805 | |
| (304) 855-2211 | |
| Not Available |
| Full Name | Southern West Virginia Health System-chapmanville |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Shae Ave, Chapmanville, West Virginia |
| Authorized Official Name and Position | Lisa Leach (CEO) |
| Authorized Official Contact | 3048245806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern West Virginia Health System-chapmanville 7400 Lynn Ave Hamlin WV 25523-1138 Ph: (304) 824-5806 | Southern West Virginia Health System-chapmanville 40 Shae Ave Chapmanville WV 25508-9805 Ph: (304) 855-2211 |
| NPI Number | 1043010630 |
|---|---|
| Provider Enumeration Date | 03/14/2025 |
| Last Update Date | 03/14/2025 |
| Certification Date | 03/14/2025 |
| Medicare PECOS PAC ID | 6204821879 |
|---|---|
| Medicare Enrollment ID | O20251125000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043010630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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