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NPI Code Detail

MEDICARE: SENECA HEALTH SERVICES, INC.

MEDICARE: SENECA HEALTH SERVICES, 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
1251S00000XCommunity/Behavioral Health Agency371WV

Other Identifiers

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

General Provider Information

NPI Number : 1407028418
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENECA HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 131 WELLNESS DR
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-5402
Country : US
Telephone Number : 304-872-6503
Fax Number : 304-872-5415
Provider Business Practice Location Address
First Line : 131 WELLNESS DR
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-5402
Country : US
Telephone Number : 304-872-2659
Fax Number : 304-872-1685
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. MARCIE L VAUGHAN
Credential : LP
Telephone Number : 304-872-6503
Provider Enumeration Date : 03/31/2008
Last Update Date : 04/18/2022

Similar Medicare Providers

1104986835 — MARCIE L VAUGHAN
Practice Location Address:
131 WELLNESS DR
SUMMERSVILLE, WV
26651-5402
Practice Phone: 304-872-6503
Practice Fax: 304-872-5541
1720356165 — SENECA HEALTH SERVICES, INC.
Practice Location Address:
131 WELLNESS DR
SUMMERSVILLE, WV
26651-5402
Practice Phone: 304-872-2659
Practice Fax: 304-872-1685
1942567763 — CRYSTAL Y CLARK-CROOKSHANKS FNP
Practice Location Address:
131 WELLNESS DR
SUMMERSVILLE, WV
26651-5402
Practice Phone: 888-736-3229
Practice Fax:
1851643597 — JESSICA G SHIELER LSW
Practice Location Address:
131 WELLNESS DR
SUMMERSVILLE, WV
26651-5402
Practice Phone: 304-872-2659
Practice Fax: 304-872-1685
1992363253 — ZACHARY SMITH
Practice Location Address:
131 WELLNESS DR
SUMMERSVILLE, WV
26651-5402
Practice Phone: 304-658-7039
Practice Fax: 304-596-0915
1609401520 — RACHEL RICHARDSON APRN, PMHNP-BC
Practice Location Address:
131 WELLNESS DR
SUMMERSVILLE, WV
26651-5402
Practice Phone: 304-872-2659
Practice Fax: 304-872-1685

Directions to “SENECA HEALTH SERVICES, INC. ” Practice Location

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