| Twin States Family Care Center | |
|
Highway 102 Wolfe WV 24751 | |
| (304) 248-8096 | |
| (304) 248-8096 |
| Full Name | Twin States Family Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | Highway 102, Wolfe, West Virginia |
| Authorized Official Name and Position | Reynaldo Jose (OWNER) |
| Authorized Official Contact | 3042488096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin States Family Care Center Po Box 19 Nemours WV 24738-0019 Ph: (304) 248-8096 | Twin States Family Care Center Highway 102 Wolfe WV 24751 Ph: (304) 248-8096 |
| NPI Number | 1003907676 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003907676 | NPI | - | NPPES |
| 0048928000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11738WV (West Virginia) | Primary |