Organization · Type 2 NPI

Rainelle Medical Center Inc

Federally Qualified Health Center (FQHC) · Meadow Bridge, WV

NPI number 1093883324 Active

Practice location

8971 Sewell Creek Road
Meadow Bridge, WV 25976

Call (304) 484-7755 Map

Fax (304) 484-6205

Mailing address

1502 Meadow Bridge Rd
Meadow Bridge, WV 25976-9655

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Dianna Gail Bolen, PA-CPhysician Assistant Meadow Bridge, WV NPI 1225135536

NPI record

NPI: 1093883324
Entity type: Organization (Type 2)
Issued: Dec 4, 2006
Last updated: Nov 16, 2023
Status: Active

Other names

<unavail>
Meadow Bridge Clinic · doing business as
Meadow Bridge Clinic · doing business as

Authorized official

Mrs. Debra J Bennett
Credentialing Specialist
(304) 438-6188

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093883324

Rainelle Medical Center Inc's National Provider Identifier is 1093883324, issued on Dec 4, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Meadow Bridge, WV. The record was last updated on Nov 16, 2023.