Organization
RAINELLE MEDICAL CENTER INC
Active
Other names
Meadow Bridge Clinic PAAS FQHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD N PRICE (CEO)
(304) 438-6188
Entity
Organization
Contact information
Practice address
1502 MEADOW BRIDGE ROAD, MEADOW BRIDGE, WV 25976
(304) 484-7755
(304) 484-6205
Mailing address
PO BOX 120, MEADOW BRIDGE, WV 25976
(304) 484-7755
(304) 484-6205
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
045967
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035241003
—
WV
Enumeration date
10/03/2006
Last updated
08/22/2020
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