| Pinewood Medical Center | |
|
401 N Pike St Grafton WV 26354-1268 | |
| (304) 265-1350 | |
| (304) 265-0295 |
| Full Name | Pinewood Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 401 N Pike St, Grafton, West Virginia |
| Authorized Official Name and Position | John C Forester (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3046244655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinewood Medical Center 686 S Pike St Ste A Shinnston WV 26431-1043 Ph: (304) 624-4655 | Pinewood Medical Center 401 N Pike St Grafton WV 26354-1268 Ph: (304) 265-1350 |
| NPI Number | 1891863874 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 04/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891863874 | NPI | - | NPPES |
| 3810022425 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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