| Rainelle Medical Center, Inc. | |
|
26737 Midland Trail Hico WV 25854-0089 | |
| (304) 969-8080 | |
| (304) 658-3999 |
| Full Name | Rainelle Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 26737 Midland Trail, Hico, West Virginia |
| Authorized Official Name and Position | Debra J Davidson-bennett (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044386188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainelle Medical Center, Inc. 176 Medical Center Dr Rainelle WV 25962-1064 Ph: (304) 438-6188 | Rainelle Medical Center, Inc. 26737 Midland Trail Hico WV 25854-0089 Ph: (304) 969-8080 |
| NPI Number | 1952815268 |
|---|---|
| Provider Enumeration Date | 11/22/2017 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 7416861810 |
|---|---|
| Medicare Enrollment ID | O20180831001280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952815268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |