Provider Demographics
NPI:1255173035
Name:BELINGTON COMMUNITY MEDICAL SERVICES ASSOCIATION
Entity type:Organization
Organization Name:BELINGTON COMMUNITY MEDICAL SERVICES ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHOONOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-823-2800
Mailing Address - Street 1:95 S CRIM AVE
Mailing Address - Street 2:
Mailing Address - City:BELINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:26250-8416
Mailing Address - Country:US
Mailing Address - Phone:304-823-3980
Mailing Address - Fax:
Practice Address - Street 1:95 S CRIM AVE
Practice Address - Street 2:
Practice Address - City:BELINGTON
Practice Address - State:WV
Practice Address - Zip Code:26250-8416
Practice Address - Country:US
Practice Address - Phone:304-823-3980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BELINGTON COMMUNITY MEDICAL SERVICES ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)