Organization
RAINELLE MEDICAL CENTER, INC
Active
Other names
LEWISBURG BEHAVIORAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA J DAVIDSON-BENNETT (CREDENTIALING SPECIALIST)
(304) 438-6188
Entity
Organization
Contact information
Practice address
149 GOHEEN ST, LEWISBURG, WV 24901-1661
(304) 438-6188
(304) 438-4037
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 438-6819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/19/2025
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