Organization
RAINELLE MEDICAL CENTER INC
Active
Other names
Rupert 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
458 GREENBRIER STREET, RUPERT, WV 25984
(304) 438-6188
(304) 438-4037
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 438-4037
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
054272
WV
Other
Enumeration date
10/03/2006
Last updated
06/06/2024
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