Middle Cross Family Medical | |
102 Reservation Ave Beckley WV 25801-2820 | |
(304) 929-7677 | |
(304) 929-6067 |
Full Name | Middle Cross Family Medical |
---|---|
Speciality | Clinic/center |
Location | 102 Reservation Ave, Beckley, West Virginia |
Authorized Official Name and Position | Melissa Ann Chapman (OWNER) |
Authorized Official Contact | 3049297677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Middle Cross Family Medical Po Box 972 Beckley WV 25802-0972 Ph: (304) 929-7677 | Middle Cross Family Medical 102 Reservation Ave Beckley WV 25801-2820 Ph: (304) 929-7677 |
NPI Number | 1205008711 |
---|---|
Provider Enumeration Date | 03/25/2008 |
Last Update Date | 03/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205008711 | NPI | - | NPPES |
MESP05281 | Other | WV | MEDICARE SOLE PROP. PIN |
1809819-000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1811 (West Virginia) | Primary |
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