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Organization

RAINELLE MEDICAL CENTER, INC.

Active
Other names
RAINELLE MEDICAL/DENTAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA J BENNETT (CREDENTIALING SPECIALIST)
(304) 438-6188
Entity
Organization

Contact information

Practice address
205 MEDICAL CENTER DRIVE, RAINELLE, WV 25962-1064
(304) 438-1922
(304) 438-1921
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 438-6819

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
WV

Other

Enumeration date
07/18/2015
Last updated
01/11/2024
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