Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boone Primary Care Clinic

Organization Internal Medicine Physician · NPI 1578634697

Boone Primary Care Clinic is an Internal Medicine Physician in Madison, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006

Practice location Address checks out

340 State St
Madison, WV 25130-1365
Phone: (304) 307-6618
Fax: (304) 307-6619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 19477 (WV)

Record details

NPI number1578634697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wenqing Long — Owner · (304) 307-6618
NPI enumeratedNovember 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address340 State St, Madison, WV 25130-1365

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