Organization
RAINELLE MEDICAL CENTER, INC.
Active
Parent organization
RAINELLE MEDICAL CENTER, INC.
Other names
LEWISBURG HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAINELLE MEDICAL CENTER, INC.
Authorized official
DEBRA J DAVIDSON-BENNETT (CREDENTIALING SPECIALIST)
(304) 438-6188
Entity
Organization
Contact information
Practice address
296 FAIR ST, LEWISBURG, WV 24901-2632
(304) 438-6188
(304) 438-6819
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
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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