| Westmoreland Family Care Center, Inc | |
|
16 2nd St Mason WV 25260-9677 | |
| (304) 773-5333 | |
| (304) 773-5885 |
| Full Name | Westmoreland Family Care Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16 2nd St, Mason, West Virginia |
| Authorized Official Name and Position | Danny Ray Westmoreland (PRESIDENT) |
| Authorized Official Contact | 3047735333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westmoreland Family Care Center, Inc 16 2nd St Mason WV 25260-9677 Ph: (304) 773-5333 | Westmoreland Family Care Center, Inc 16 2nd St Mason WV 25260-9677 Ph: (304) 773-5333 |
| NPI Number | 1497965461 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 7618027939 |
|---|---|
| Medicare Enrollment ID | O20090609000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497965461 | NPI | - | NPPES |
| 0639572 | Medicaid | OH | |
| 0040703000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1070 (West Virginia) | Primary |
| Provider Name | Danny Ray Westmoreland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073654075 PECOS PAC ID: 5597815829 Enrollment ID: I20100823000325 |
Pleasant Valley Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2007 2nd St, Mason, WV 25260 Phone: 304-773-5179 Fax: 304-773-5035 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2180 2nd St, Mason, WV 25260 Phone: 304-773-3135 Fax: 304-773-3136 |