| Uhc-whitehall Medical | |
|
177 Middletown Rd Ste 1 White Hall WV 26554-8254 | |
| (304) 363-6600 | |
| (304) 333-5201 |
| Full Name | Uhc-whitehall Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 177 Middletown Rd Ste 1, White Hall, West Virginia |
| Authorized Official Name and Position | Michael Tillman (CEO) |
| Authorized Official Contact | 6813421000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uhc-whitehall Medical 527 Medical Park Dr Ste 400 Bridgeport WV 26330-9010 Ph: (681) 342-3500 | Uhc-whitehall Medical 177 Middletown Rd Ste 1 White Hall WV 26554-8254 Ph: (304) 363-6600 |
| NPI Number | 1194269589 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 12/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194269589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Richard E Vasicek Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Roxbury Road, White Hall, WV 26554 Phone: 304-363-6600 Fax: 304-363-7700 |