Rainelle Medical Center, Inc.

NPI #1497244412 in Lewisburg, West Virginia

Provider Information

NPI Number
1497244412
Entity Type
Organization
Organization Name
Rainelle Medical Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
RAINELLE MEDICAL CENTER, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 4, 2018
Last Updated
May 4, 2018

Practice Location

Address
296 FAIR ST
ZIP Code
24901-2632
Phone
(304) 438-6188

Authorized Official

Name
DEBRA J DAVIDSON-BENNETT
Title
CREDENTIALING SPECIALIST
Phone
(304) 438-6188

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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