| Wirt County Health Services Association, Inc | |
|
606 Washington Street Ravenswood WV 26164 | |
| (304) 273-1033 | |
| (304) 273-1034 |
| Full Name | Wirt County Health Services Association, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 606 Washington Street, Ravenswood, West Virginia |
| Authorized Official Name and Position | Vicki L Knicely (BILLING SUPERVISOR CREDENTIALING) |
| Authorized Official Contact | 3042753301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wirt County Health Services Association, Inc 606 Washington Street Ravenswood WV 26164 Ph: (304) 273-1033 | Wirt County Health Services Association, Inc 606 Washington Street Ravenswood WV 26164 Ph: (304) 273-1033 |
| NPI Number | 1356403703 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 01/03/2014 |
| Medicare PECOS PAC ID | 7810806577 |
|---|---|
| Medicare Enrollment ID | O20030207000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356403703 | NPI | - | NPPES |
| 0009486002 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Todd R Myers Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1113 Washington St, Suite 203, Ravenswood, WV 26164 Phone: 304-273-9482 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Washington St, Ravenswood, WV 26164 Phone: 304-868-8000 Fax: 304-868-8001 | |
Activate Healthcare - Constellium Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Century Road, Ravenswood, WV 26164 Phone: 304-273-6261 Fax: 304-273-6549 | |
Ravenswood Family Medicine Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 316 Washington St, Ravenswood, WV 26164 Phone: 304-273-2647 Fax: 304-273-2636 | |
Durwood F. Gandee Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1979 Professional Cir, Ravenswood, WV 26164 Phone: 304-273-5873 | |
Equinox Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Washington St, Ravenswood, WV 26164 Phone: 304-868-6000 Fax: 304-868-6002 |