Organization
MINERS CITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BEACH APRN (PROVIDER)
(304) 875-4005
Entity
Organization
Contact information
Practice address
14197 ROCKET BOYS DRIVE, N/A, WAR, WV 24892
(304) 888-4998
Mailing address
PO BOX 931, WAR, WV 24892-0931
(304) 888-4998
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
04/12/2021
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