| Eastern Greenbrier Health Center | |
|
595 Spartan Ln Lewisburg WV 24901-9438 | |
| (304) 645-1052 | |
| (304) 645-1055 |
| Full Name | Eastern Greenbrier Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 595 Spartan Ln, Lewisburg, West Virginia |
| Authorized Official Name and Position | Debra J Davidson-bennett (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044386188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Greenbrier Health Center 176 Medical Center Dr Rainelle WV 25962-1064 Ph: (304) 438-6188 | Eastern Greenbrier Health Center 595 Spartan Ln Lewisburg WV 24901-9438 Ph: (304) 645-1052 |
| NPI Number | 1265101273 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 7416861810 |
|---|---|
| Medicare Enrollment ID | O20220505002108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265101273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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