| Wirt County Health Services Association, Inc | |
|
2121 7th St Parkersburg WV 26101-3803 | |
| (304) 485-1721 | |
| (304) 428-2597 |
| Full Name | Wirt County Health Services Association, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2121 7th St, Parkersburg, West Virginia |
| Authorized Official Name and Position | Vicki Lynn Knicely (BILLING/CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3042753301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wirt County Health Services Association, Inc Po Box 609 Elizabeth WV 26143-0609 Ph: (304) 275-3301 | Wirt County Health Services Association, Inc 2121 7th St Parkersburg WV 26101-3803 Ph: (304) 485-1721 |
| NPI Number | 1750868675 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Medicare PECOS PAC ID | 7810806577 |
|---|---|
| Medicare Enrollment ID | O20190125002879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750868675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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