| Potomac Valley Physicians For Women | |
|
Hospital Drive Petersburg WV 26847 | |
| (304) 257-2152 | |
| (304) 257-2928 |
| Full Name | Potomac Valley Physicians For Women |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | Hospital Drive, Petersburg, West Virginia |
| Authorized Official Name and Position | Mary Beth Barr (CEO) |
| Authorized Official Contact | 3042571026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Valley Physicians For Women Po Box 1019 Petersburg WV 26847-1019 Ph: (304) 257-1026 | Potomac Valley Physicians For Women Hospital Drive Petersburg WV 26847 Ph: (304) 257-2152 |
| NPI Number | 1396744108 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396744108 | NPI | - | NPPES |
| 0206602000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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