institution
Pendleton Community Care, Inc.
Federally Qualified Health Center (FQHC) in Riverton, West Virginia
NPI 1417931379

Pendleton Community Care, Inc. is a Federally Qualified Health Center (FQHC) based in Riverton, WV and is specialized in Federally Qualified Health Center (FQHC). Pendleton Community Care, Inc. practices in Riverton, WV. The NPI Number for Pendleton Community Care, Inc. is 1417931379 and holds a License No. (West Virginia).

The current practice location address for Pendleton Community Care, Inc. is 16921 Mountaineer Drive, Riverton, WV and can be reached out via phone at 304-567-2101 and via fax at 304-567-2102.

Location: 16921 Mountaineer Drive, Riverton, WV, 26814-0101
institution
Provider Profile Details
NPI Number
1417931379
Provider Name
Pendleton Community Care, Inc.
Credential
Provider Entity Type
Organization
Address
16921 Mountaineer Drive, Riverton, WV, 26814-0101
Phone Number
304-567-2101
Fax Number
304-567-2102
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
001706795 01 WV MS BCBS
5369042000 05 WV
institution
Provider Business Practice Location Address Details
Address
16921 Mountaineer Drive
City
State
Zip
26814-0101
Phone Number
304-567-2101
Fax Number
304-567-2102
person
Provider Business Mailing Address Details
Address
16921 Mountaineer Drive
City
State
Zip
26814-0101
Phone Number
304-567-2101
Fax Number
304-567-2102
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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