# RAINELLE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528050655
- **Authorized official:** MRS. DEBRA J BENNETT (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (304) 438-6188

## Contact information

- **Practice address:** 176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
- **Practice address phone:** (304) 438-6188
- **Practice address fax:** (304) 438-6819
- **Mailing address:** 176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
- **Mailing address phone:** (304) 438-6188
- **Mailing address fax:** (304) 438-6819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | WV | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 07/21/2022