| Wvuh Cheat Lake Physicians | |
|
1 Medical Center Dr Morgantown WV 26507-1127 | |
| (304) 598-4032 | |
| (304) 598-4143 |
| Full Name | Wvuh Cheat Lake Physicians |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1 Medical Center Dr, Morgantown, West Virginia |
| Authorized Official Name and Position | Bruce Bowman Mcclymonds (ADMINISTRATOR) |
| Authorized Official Contact | 3045984032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wvuh Cheat Lake Physicians Po Box 1127 Morgantown WV 26507-1127 Ph: (304) 598-4032 | Wvuh Cheat Lake Physicians 1 Medical Center Dr Morgantown WV 26507-1127 Ph: (304) 598-4032 |
| NPI Number | 1033254149 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033254149 | NPI | - | NPPES |
| 3810001961 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (West Virginia) | Primary |
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