# SUMMERSVILLE REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Richwood Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821463654
- **Authorized official:** DAN AYRES (CEO)
- **Authorized official phone:** (304) 872-2891

## Contact information

- **Practice address:** 74 AVENUE B, RICHWOOD, WV 26261-1207
- **Practice address phone:** (304) 883-0220
- **Practice address fax:** (304) 872-8417
- **Mailing address:** 400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
- **Mailing address phone:** (304) 883-0220
- **Mailing address fax:** (304) 872-8417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 61 | WV | Yes |

## Other

- **Enumeration date:** 12/04/2015
- **Last updated:** 05/02/2018