MEDICARE: RHODELL 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
1	207R00000X	Internal Medicine Physician

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

General Provider Information

NPI Number	:	1609957943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHODELL HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 158
Second Line	:
City	:	RHODELL
State	:	WV
Zip	:	25915-0158
Country	:	US
Telephone Number	:	304-683-4318
Fax Number	:	304-683-4791

Provider Business Practice Location Address
First Line	:	7312 COAL CITY ROAD
Second Line	:
City	:	RHODELL
State	:	WV
Zip	:	25915-0158
Country	:	US
Telephone Number	:	304-683-4318
Fax Number	:	304-683-4791

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. JOANNA MARY ROBERTS
Credential	:	MD
Telephone Number	:	304-683-4318

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	01/10/2008

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Directions to “RHODELL HEALTH SERVICES INC ” Practice Location

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