| Montgomery Physician Clinic | |
|
401 6th Ave Montgomery WV 25136-2116 | |
| (304) 442-5151 | |
| (304) 442-7494 |
| Full Name | Montgomery Physician Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 6th Ave, Montgomery, West Virginia |
| Authorized Official Name and Position | Sherri Murray (CFO) |
| Authorized Official Contact | 3044421246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Physician Clinic Po Box 270 Montgomery WV 25136-0270 Ph: (304) 442-5151 | Montgomery Physician Clinic 401 6th Ave Montgomery WV 25136-2116 Ph: (304) 442-5151 |
| NPI Number | 1275163644 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/11/2023 |
| Medicare PECOS PAC ID | 6204735269 |
|---|---|
| Medicare Enrollment ID | O20210119000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275163644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Montgomery Gen Cahgrp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 6th Ave, Montgomery, WV 25136 Phone: 304-442-5151 Fax: 304-442-7494 |
Coal Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 6th Ave, D303, Montgomery, WV 25136 Phone: 304-442-9582 Fax: 304-442-1334 |
Riverside Medical Group PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 6th Ave, Suite 102, Montgomery, WV 25136 Phone: 304-442-8381 |
Family Medical & Surgical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Washington St, Montgomery, WV 25136 Phone: 304-442-4204 Fax: 304-442-4204 |
Montgomery Gen Cahgrp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 6th Ave, Montgomery, WV 25136 Phone: 304-442-5151 Fax: 304-442-7494 |