MEDICARE: RAVENSWOOD FAMILY MEDICINE CTR

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	19979	WV

General Provider Information

NPI Number	:	1770689481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAVENSWOOD FAMILY MEDICINE CTR

Provider Business Mailing Address
First Line	:	PO BOX 325
Second Line	:
City	:	RAVENSWOOD
State	:	WV
Zip	:	26164-0325
Country	:	US
Telephone Number	:	304-273-4479
Fax Number	:	304-273-2599

Provider Business Practice Location Address
First Line	:	316 WASHINGTON ST
Second Line	:
City	:	RAVENSWOOD
State	:	WV
Zip	:	26164-1704
Country	:	US
Telephone Number	:	304-273-2647
Fax Number	:	304-273-2636

Authorized Official
Title or Position	:	OWNER
Name	:	ARIF M MALIK
Credential	:
Telephone Number	:	304-903-4579

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/22/2021

Similar Medicare Providers

1679534630 — ARIF M MALIK MD
Practice Location Address:

316 WASHINGTON ST
RAVENSWOOD, WV
26164-1704

Practice Phone: 304-273-2614
Practice Fax: 304-273-2636

1023011673 — TODD RICHARD MYERS M.D.
Practice Location Address:

1113 WASHINGTON ST
RAVENSWOOD, WV
26164-1020

Practice Phone: 740-516-8133
Practice Fax:

1013912799 — MURRITA C. BOLINGER CFNP
Practice Location Address:

606 WASHINGTON STREET
RAVENSWOOD, WV
26164-1373

Practice Phone: 304-273-1033
Practice Fax: 304-273-1034

1538156518 — DR. ROBERT A HESS M.D.
Practice Location Address:

705 WASHINGTON ST
RAVENSWOOD, WV
26164-1729

Practice Phone: 304-868-6000
Practice Fax:

1275519878 — DR. RICHARD JAY BLACKBURN DO
Practice Location Address:

705 WASHINGTON ST
RAVENSWOOD, WV
26164-1729

Practice Phone: 304-868-6000
Practice Fax: 304-868-6002

1235104480 — CHRISTINE R MIZE O.D.
Practice Location Address:

706 WASHINGTON ST
RAVENSWOOD, WV
26164-1772

Practice Phone: 304-273-2020
Practice Fax:

Directions to “RAVENSWOOD FAMILY MEDICINE CTR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.