Clinic/Center, Federally Qualified Health Center (FQHC)
CLENDENIN HEALTH CENTER LAB
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1407259062 · enumerated 2014-09-26 · record updated 2025-07-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JENNIFER RUSSELL, Administrative Assistant · (304) 734-2040
Addresses and phones
- Practice location 107 KOONTZ AVE STE 200, CLENDENIN, WV, 25045-9581 (304) 734-2040 Fax (301) 734-2047 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 70, DAWES, WV, 25054-0070 (304) 734-2040 Fax (304) 734-2047 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X · Primary
In this directory
WV Kanawha County Clendenin Clinic/Center, Federally Qualified Health Center (FQHC)
Locations and evidence
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Practice location
CLENDENIN, WV, 250459581
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.