| Moorefield Elementary School | |
|
400 N Main St Moorefield WV 26836-1015 | |
| (304) 530-6356 | |
| (304) 897-6216 |
| Full Name | Moorefield Elementary School |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 N Main St, Moorefield, West Virginia |
| Authorized Official Name and Position | Meredith Michelle Heishman (CREDENTIALING) |
| Authorized Official Contact | 3048975915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moorefield Elementary School Po Box 97 Baker WV 26801-0097 Ph: (304) 897-5915 | Moorefield Elementary School 400 N Main St Moorefield WV 26836-1015 Ph: (304) 530-6356 |
| NPI Number | 1659851830 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Medicare PECOS PAC ID | 6204728041 |
|---|---|
| Medicare Enrollment ID | O20200220002694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659851830 | NPI | - | NPPES |
| 1700014180 | Other | WV | PVFM MOOREFIELD OFFICE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 964 (West Virginia) | Primary |
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