| Ulysses D Agas M D Inc | |
|
557 Main Street Logan WV 25601 | |
| (304) 752-3435 | |
| (304) 752-3436 |
| Full Name | Ulysses D Agas M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 557 Main Street, Logan, West Virginia |
| Authorized Official Name and Position | Ulysses D Agas (OWNER) |
| Authorized Official Contact | 3047523434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ulysses D Agas M D Inc Po Box 210 Logan WV 25601-0210 Ph: (304) 752-3435 | Ulysses D Agas M D Inc 557 Main Street Logan WV 25601 Ph: (304) 752-3435 |
| NPI Number | 1639368822 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639368822 | NPI | - | NPPES |
| 001720467 | Other | WV | BLUE CROSS BLUE SHIELD |
| 3810012113 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | WV13227 (West Virginia) | Primary |
Carlton L W Herald DO PC Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Dr, Suite 100, Logan, WV 25601 Phone: 304-831-2061 Fax: 304-831-2063 |
Southern West Virgina Health System-logan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Nick Savas Drive, Logan, WV 25601 Phone: 304-752-8081 Fax: 304-752-8083 |
Walls Wellness Center, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 149 Jerry West Hwy Ste 2a, Logan, WV 25601 Phone: 304-688-2373 |
Coalfield Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Hospital Dr, Logan, WV 25601 Phone: 304-831-1630 Fax: 300-831-1634 |
Main Street Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Main St, Logan, WV 25601 Phone: 304-752-3400 Fax: 304-752-8138 |
Ovp Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 557 Main St, Logan, WV 25601 Phone: 740-752-3435 Fax: 740-753-3436 |