Liberty High School Wellness Center - Medicare Primary Care in Clarksburg, WV

Liberty High School Wellness Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Clarksburg, West Virginia. The current practice location for Liberty High School Wellness Center is 1 Mountaineer Dr, Clarksburg, West Virginia. For appointments, you can reach them via phone at (304) 326-7470. The mailing address for Liberty High School Wellness Center is Po Box 147, Clay, West Virginia and phone number is (304) 587-2541.

Liberty High School Wellness Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194111468. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 326-7470.

Contact Information

Liberty High School Wellness Center
1 Mountaineer Dr
Clarksburg
WV 26301-5511
(304) 326-7470
(304) 587-2594

Primary Care Clinic Profile

Full NameLiberty High School Wellness Center
SpecialityClinic/Center
Location1 Mountaineer Dr, Clarksburg, West Virginia
Authorized Official Name and PositionDora L Potasnik (CREDENTIALING)
Authorized Official Contact3045872541
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Liberty High School Wellness Center
Po Box 147
Clay
WV 25043-0147

Ph: (304) 587-2541
Liberty High School Wellness Center
1 Mountaineer Dr
Clarksburg
WV 26301-5511

Ph: (304) 326-7470

NPI Details:

NPI Number1194111468
Provider Enumeration Date04/13/2015
Last Update Date04/13/2015

Medicare PECOS Information:

Medicare PECOS PAC ID0446232987
Medicare Enrollment IDO20150601001383

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Medical Identifiers

Medical identifiers for Liberty High School Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194111468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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Clinic/Center in Clarksburg, WV

Community Care Of Clarksburg
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 700 Oakmound Rd, Clarksburg, WV 26301
Phone: 304-924-6262    Fax: 304-924-5460
Veterans Health Administration
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1 Med Center Dr, Clarksburg, WV 26301
Phone: 304-623-3461    
Ucfa Physicians Network Group Of West Virginia
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2413 E Pike St, Clarksburg, WV 26301
Phone: 423-271-9911    
Mountaineer Middle School Wellness Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2 Mountaineer Dr, Clarksburg, WV 26301
Phone: 304-326-7620    Fax: 304-924-5460
North View Elementary School Wellness Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1400 N 19th St, Clarksburg, WV 26301
Phone: 304-326-7650    Fax: 304-587-2594
Robert C. Byrd High Wellness Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1 Eagle Way, Clarksburg, WV 26301
Phone: 304-326-7200    Fax: 304-624-3211

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