| Primary Health Care Associates Pllc | |
|
25 Garton Plz Weston WV 26452-2128 | |
| (304) 269-6620 | |
| Not Available |
| Full Name | Primary Health Care Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Garton Plz, Weston, West Virginia |
| Authorized Official Name and Position | Bennett D Orvik (SINGLE MEMBER) |
| Authorized Official Contact | 3042696620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Care Associates Pllc Po Box 747 Weston WV 26452-0747 Ph: (304) 269-6620 | Primary Health Care Associates Pllc 25 Garton Plz Weston WV 26452-2128 Ph: (304) 269-6620 |
| NPI Number | 1568628766 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568628766 | NPI | - | NPPES |
| 0055675000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11386 (West Virginia) | Primary |
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