Organization
MINGO COUNTY FAMILY WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIMEE MICHELLE COLEGROVE NP (PRESIDENT/HEALTHCARE PROVIDER)
(304) 475-3700
Entity
Organization
Contact information
Practice address
872 ROUTE 65, WILLIAMSON, WV 25661-7497
(304) 475-3700
(304) 475-3780
Mailing address
872 ROUTE 65, WILLIAMSON, WV 25661-7497
(304) 475-3700
(304) 475-3780
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
06/30/2021
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