| Whitehall Medical Pllc | |
|
177 Middletown Rd Suite 1 Fairmont WV 26554-8216 | |
| (304) 363-6600 | |
| (304) 363-7700 |
| Full Name | Whitehall Medical Pllc |
|---|---|
| Speciality | General Practice |
| Location | 177 Middletown Rd, Fairmont, West Virginia |
| Authorized Official Name and Position | Richard E. Vasicek (MEMBER OWNER) |
| Authorized Official Contact | 3043636600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitehall Medical Pllc 177 Middletown Rd Suite 1 Fairmont WV 26554-8216 Ph: (304) 363-6600 | Whitehall Medical Pllc 177 Middletown Rd Suite 1 Fairmont WV 26554-8216 Ph: (304) 363-6600 |
| NPI Number | 1659432631 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659432631 | NPI | - | NPPES |
| 2411485 | Other | WV | GROUP |
| 3810006289 | Medicaid | WV | |
| 001711083 | Other | WV | GROUP BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 1552 (West Virginia) | Primary |
Marion County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 2nd St, Fairmont, WV 26554 Phone: 304-366-3360 Fax: 304-363-8217 | |
Hilsbos Family Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Erwin Ln Ste B, Fairmont, WV 26554 Phone: 304-612-9186 Fax: 304-366-7763 | |
Anjaneyulu Thagirisa, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1539 Country Club Rd, Fairmont, WV 26554 Phone: 304-367-0043 | |
Fairmont Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 | |
Manchin Clinic South, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Middletown Circle, Fairmont, WV 26554 Phone: 304-367-9170 Fax: 304-367-9180 | |
Fairmont State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Locust Ave Fl 3, Fairmont, WV 26554 Phone: 304-367-4155 | |
Mohamad Arja Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Gaston Ave, Fairmont, WV 26554 Phone: 304-367-0012 Fax: 304-366-1092 |