| Wvupc-kanawha Valley Family Practice | |
|
401 Division St Suite 205 S Charleston WV 25309-1455 | |
| (304) 768-3941 | |
| Not Available |
| Full Name | Wvupc-kanawha Valley Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Division St, S Charleston, West Virginia |
| Authorized Official Name and Position | Robyn M Mcdaniel (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 3042935033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wvupc-kanawha Valley Family Practice Po Box 7000 Morgantown WV 26507-7000 Ph: (304) 293-7401 | Wvupc-kanawha Valley Family Practice 401 Division St Suite 205 S Charleston WV 25309-1455 Ph: (304) 768-3941 |
| NPI Number | 1114170693 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114170693 | NPI | - | NPPES |
| 4002106000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sapp Creations Marketing Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 7th Ave, Suite B 2nd Floor, S Charleston, WV 25303 Phone: 304-343-1231 | |
Bassam Haffar Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 7th Ave, S Charleston, WV 25303 Phone: 304-395-3332 |