Organization
RAINELLE MEDICAL CENTER, INC
Active
Organization
RAINELLE MEDICAL CENTER, INC
Active
Other names
RMC LEWISBURG PEDIATRICS AND FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA J BENNETT (CREDENTIALING SPECIALIST)
(304) 438-6188
Entity
Organization
Contact information
Practice address
2140 JEFFERSON ST N STE 200, LEWISBURG, WV 24901-7702
(681) 484-7042
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
02/09/2023
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