MEDICARE: HEALTH FACILITIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	SP0552328	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2111574	OTHER		PK

General Provider Information

NPI Number	:	1326064288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH FACILITIES INC

Provider Business Mailing Address
First Line	:	149 IVY LN
Second Line	:
City	:	PARSONS
State	:	WV
Zip	:	26287-1337
Country	:	US
Telephone Number	:	304-478-2319
Fax Number	:	304-478-2532

Provider Business Practice Location Address
First Line	:	149 IVY LN
Second Line	:
City	:	PARSONS
State	:	WV
Zip	:	26287-1337
Country	:	US
Telephone Number	:	304-478-2319
Fax Number	:	304-478-2532

Authorized Official
Title or Position	:	PHARMACY DIRECTOR
Name	:	AMANDA SMITH
Credential	:	BS
Telephone Number	:	304-478-2319

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/02/2016

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Practice Location Address:

445 RIVER BEND ESTATES RD
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Directions to “HEALTH FACILITIES INC ” Practice Location

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