| Hospital Development Co | |
|
94 School Dr Walton WV 25286-9774 | |
| (304) 577-6815 | |
| (304) 577-6816 |
| Full Name | Hospital Development Co |
|---|---|
| Speciality | Family Medicine |
| Location | 94 School Dr, Walton, West Virginia |
| Authorized Official Name and Position | Douglas E Bentz (CEO) |
| Authorized Official Contact | 3049276200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Development Co 200 Hospital Dr Spencer WV 25276-1050 Ph: (304) 927-4444 | Hospital Development Co 94 School Dr Walton WV 25286-9774 Ph: (304) 577-6815 |
| NPI Number | 1639423411 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 12/12/2013 |
| Medicare PECOS PAC ID | 4183527476 |
|---|---|
| Medicare Enrollment ID | O20040710000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639423411 | NPI | - | NPPES |
| 513417 | Other | WV | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 74 (West Virginia) | Primary |
Hospital Development Co Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 School Dr, Walton, WV 25286 Phone: 304-577-6815 |