| City Of Sistersville | |
|
100 Fair St Middlebourne WV 26149-9525 | |
| (304) 447-2471 | |
| (304) 447-2471 |
| Full Name | City Of Sistersville |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 100 Fair St, Middlebourne, West Virginia |
| Authorized Official Name and Position | Brandon W Chadock (AO) |
| Authorized Official Contact | 3046522611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Sistersville 314 S Wells St Sistersville WV 26175-1098 Ph: (304) 652-2611 | City Of Sistersville 100 Fair St Middlebourne WV 26149-9525 Ph: (304) 447-2471 |
| NPI Number | 1538485230 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538485230 | NPI | - | NPPES |
| 3810018302 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 513413 (West Virginia) | Primary |
Marietta Memorial Hospital Of Tyler County Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Fair St, Middlebourne, WV 26149 Phone: 304-758-5000 Fax: 304-758-5022 | |
Wetzel County Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Fair Ave, Middlebourne, WV 26149 Phone: 304-758-5100 Fax: 304-758-4646 |