| Premier Medical Group, Inc. | |
|
710 Genesis Blvd Bridgeport WV 26330-9668 | |
| (304) 808-6081 | |
| (304) 423-5032 |
| Full Name | Premier Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 710 Genesis Blvd, Bridgeport, West Virginia |
| Authorized Official Name and Position | Christine D Sturtevant (CEO) |
| Authorized Official Contact | 3048086081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Group, Inc. Po Box 1610 Clarksburg WV 26302-1610 Ph: (304) 808-6081 | Premier Medical Group, Inc. 710 Genesis Blvd Bridgeport WV 26330-9668 Ph: (304) 808-6081 |
| NPI Number | 1679672505 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 07/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679672505 | NPI | - | NPPES |
| 1540199 | Other | WV | UMWA MEDICARE |
| 001710500 | Other | WV | BLUE CROSS BLUE SHIELD |
| CJ7607 | Other | WV | RAILROAD MEDICARE |
| 0010197000 | Medicaid | WV |
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