Organization
RAINELLE MEDICAL CENTER, INC
Active
Other names
RMC GREENBRIER NEPHROLOGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA J BENNETT (CREDENTIALING SPECIALIST)
(304) 438-6188
Entity
Organization
Contact information
Practice address
289 DAWKINS DR, LEWISBURG, WV 24901-9674
(304) 793-0005
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 438-6819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
05/27/2020
Last updated
03/02/2023
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