Organization · Type 2 NPI

Rainelle Medical Center, Inc

Federally Qualified Health Center (FQHC) · Lewisburg, WV

NPI number 1679223390 Active

Practice location

2140 Jefferson St N Ste 200
Lewisburg, WV 24901-7702

Call (681) 484-7042 Map

Fax (304) 438-4037

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...

2 other providers at this address

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NPI record

NPI: 1679223390
Entity type: Organization (Type 2)
Issued: Mar 25, 2022
Last updated: Feb 9, 2023
Status: Active

Other names

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RMC Lewisburg Pediatrics and Family Health Center · doing business as
RMC Lewisburg Pediatrics and Family Health Center · doing business as

Authorized official

Debra J 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 1679223390

Rainelle Medical Center, Inc's National Provider Identifier is 1679223390, issued on Mar 25, 2022. 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 Feb 9, 2023.