Organization
SUMMERSVILLE REGIONAL MEDICAL CENTER
Active
Other names
Richwood Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DAN AYRES (CEO)
(304) 872-2891
Entity
Organization
Contact information
Practice address
74 AVENUE B, RICHWOOD, WV 26261-1207
(304) 883-0220
(304) 872-8417
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 883-0220
(304) 872-8417
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
61
WV
Other
Enumeration date
12/04/2015
Last updated
05/02/2018
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