| Mountain View Family Practice | |
|
3790 Hedgesville Rd Ste H Hedgesville WV 25427-6704 | |
| (304) 754-7160 | |
| (304) 754-7244 |
| Full Name | Mountain View Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3790 Hedgesville Rd Ste H, Hedgesville, West Virginia |
| Authorized Official Name and Position | Robert W Phares (OWNER) |
| Authorized Official Contact | 3047547160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Family Practice 3790 Hedgesville Rd Ste H Hedgesville WV 25427-6704 Ph: (304) 754-7160 | Mountain View Family Practice 3790 Hedgesville Rd Ste H Hedgesville WV 25427-6704 Ph: (304) 754-7160 |
| NPI Number | 1487857728 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 02/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487857728 | NPI | - | NPPES |
| 2005711000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 21259 (West Virginia) | Primary |
Hedgesville Healthcare Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3790 Hedgesville Rd Ste H, Hedgesville, WV 25427 Phone: 304-754-7160 Fax: 304-754-7244 |