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Organization
WETZEL COUNTY HOSPITAL ASSOCIATION
Active
Organization
WETZEL COUNTY HOSPITAL ASSOCIATION
Active
Other names
Pine Grove Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FELICI (CEO)
(304) 455-8000
Entity
Organization
Contact information
Practice address
12960 SHORTLINE HWY, PINE GROVE, WV 26419
(304) 889-3344
(304) 889-3366
Mailing address
P.O. BOX 244, NEW MARTINSVILLE, WV 26155-2705
(304) 455-8000
(304) 455-4259
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
WV
Other
Enumeration date
02/01/2007
Last updated
02/14/2017
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