| Ritchie County Primary Care Assoc Inc | |
|
79 Bulldog Dr West Union WV 26456-8000 | |
| (304) 643-4005 | |
| (304) 643-4007 |
| Full Name | Ritchie County Primary Care Assoc Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 79 Bulldog Dr, West Union, West Virginia |
| Authorized Official Name and Position | Amy Yokum (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3046434005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ritchie County Primary Care Assoc Inc L-4162 Columbus OH 43260-0001 Ph: (304) 643-4005 | Ritchie County Primary Care Assoc Inc 79 Bulldog Dr West Union WV 26456-8000 Ph: (304) 643-4005 |
| NPI Number | 1356851588 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 0244142453 |
|---|---|
| Medicare Enrollment ID | O20180517003018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356851588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ritchie County Primary Care Assoc Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Marie St, West Union, WV 26456 Phone: 304-873-1401 | |
Ritchie County Primary Care Assoc Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 151 Doddridge School Road, West Union, WV 26456 Phone: 304-873-0060 Fax: 304-873-0061 |