Bruceton Family Medicine Llc | |
198 Morgantown St Ste 2 Bruceton Mills WV 26525 | |
(304) 379-7600 | |
(304) 379-7599 |
Full Name | Bruceton Family Medicine Llc |
---|---|
Speciality | Family Medicine |
Location | 198 Morgantown St Ste 2, Bruceton Mills, West Virginia |
Authorized Official Name and Position | Alysia Funk (OWNER/NURSE PRACTITIONER) |
Authorized Official Contact | 3043797600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bruceton Family Medicine Llc Po Box 442 Bruceton Mills WV 26525-0442 Ph: (304) 379-7600 | Bruceton Family Medicine Llc 198 Morgantown St Ste 2 Bruceton Mills WV 26525 Ph: (304) 379-7600 |
NPI Number | 1295228161 |
---|---|
Provider Enumeration Date | 06/14/2018 |
Last Update Date | 07/05/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295228161 | NPI | - | NPPES |
3810029631 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 52464 (West Virginia) | Primary |
207Q00000X | Family Medicine | 81124 (West Virginia) | Secondary |
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Mountain Laurel Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 198 Morgantown St Ste 2, Bruceton Mills, WV 26525 Phone: 301-533-3300 Fax: 301-533-3299 | |
Bruceton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Morgantown Street, Suite B, Bruceton Mills, WV 26525 Phone: 304-379-7600 Fax: 304-379-7599 | |
Harned Memorial Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: One Memorial Drive, Rt 26 North, Bruceton Mills, WV 26525 Phone: 304-379-2114 Fax: 304-379-7929 |