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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