Delta Lifestyle Solutions - Primary Care in Bridgeport, WV

Delta Lifestyle Solutions is a primary clinic (Family Medicine) in Bridgeport, West Virginia. The current practice location for Delta Lifestyle Solutions is 109 Tolley Dr, Bridgeport, West Virginia. For appointments, you can reach them via phone at (304) 623-6300. The mailing address for Delta Lifestyle Solutions is Po Box 4246, Clarksburg, West Virginia and phone number is (304) 623-6300.

Delta Lifestyle Solutions is licensed to practice in * (Not Available) (license number ) and its NPI number is 1619579208. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (304) 623-6300.

Contact Information

Delta Lifestyle Solutions
109 Tolley Dr
Bridgeport
WV 26330-1669
(304) 623-6300
(304) 623-6302

Primary Care Clinic Profile

Full NameDelta Lifestyle Solutions
SpecialityFamily Medicine
Location109 Tolley Dr, Bridgeport, West Virginia
Authorized Official Name and PositionMary Hackney (OWNER)
Authorized Official Contact3046236300
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Delta Lifestyle Solutions
Po Box 4246
Clarksburg
WV 26302-4246

Ph: (304) 623-6300
Delta Lifestyle Solutions
109 Tolley Dr
Bridgeport
WV 26330-1669

Ph: (304) 623-6300

NPI Details:

NPI Number1619579208
Provider Enumeration Date11/10/2020
Last Update Date11/05/2021

Medical Identifiers

Medical identifiers for Delta Lifestyle Solutions such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619579208NPI-NPPES
1639326747MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QA0401XFamily Medicine - Addiction Medicine (* (Not Available))Secondary

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