MEDICARE: HOLLY B RINEHART

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	174400000X	Specialist

General Provider Information

NPI Number	:	1588515605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY B RINEHART

Provider Business Mailing Address
First Line	:	67 CELLULAR DR
Second Line	:
City	:	MANNINGTON
State	:	WV
Zip	:	26582-7124
Country	:	US
Telephone Number	:	304-591-2313
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 CELLULAR DR
Second Line	:
City	:	MANNINGTON
State	:	WV
Zip	:	26582-7124
Country	:	US
Telephone Number	:	304-591-2313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ HOLLY B RINEHART ” Practice Location

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