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
Primary
—
WV
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001221008
—
WV
Enumeration date
02/01/2007
Last updated
02/14/2017
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