| Raleigh Boone Medical Center | |
|
37456 Coal River Rd Box 187 Whitesvlle WV 25209-0187 | |
| (304) 854-1321 | |
| (304) 949-4496 |
| Full Name | Raleigh Boone Medical Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 37456 Coal River Rd, Whitesvlle, West Virginia |
| Authorized Official Name and Position | Susan L Landy (CLINIC MANAGER) |
| Authorized Official Contact | 3048541323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Boone Medical Center 37456 Coal River Rd Box 187 Whitesvlle WV 25209-0187 Ph: (304) 854-1321 | Raleigh Boone Medical Center 37456 Coal River Rd Box 187 Whitesvlle WV 25209-0187 Ph: (304) 854-1321 |
| NPI Number | 1285806760 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285806760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 01298 (West Virginia) | Primary |