Organization · Type 2 NPI

Rainelle Medical Center, Inc.

Federally Qualified Health Center (FQHC) · Lewisburg, WV

NPI number 1497244412 Active

Practice location

296 Fair St
Lewisburg, WV 24901-2632

Call (304) 438-6188 Map

Fax (304) 438-6819

Mailing address

176 Medical Center Dr
Rainelle, WV 25962-1064

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

Matthew Fratczak, DOFamily Medicine Physician Lewisburg, WV NPI 1518451293

Other federally qualified health center (fqhc) providers in Lewisburg

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NPI record

NPI: 1497244412
Entity type: Organization (Type 2)
Issued: May 4, 2018
Last updated: May 4, 2018
Status: Active
Subpart: Yes of Rainelle Medical Center, Inc.

Other names

<unavail>
Lewisburg Health Center · doing business as

Authorized official

Debra J Davidson-Bennett
Credentialing Specialist
(304) 438-6188

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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 1497244412

Rainelle Medical Center, Inc.'s National Provider Identifier is 1497244412, issued on May 4, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lewisburg, WV. The record was last updated on May 4, 2018.