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Contact Information

CENTRAL WV MEDCORP, INC.
11 N LOCUST ST
BUCKHANNON, WV26201-2231
 Phone: 304-472-1600
 Fax: 304-472-6382
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Professional

101YP2500X
 

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for CENTRAL WV MEDCORP INC · (Female)

NPI # 1275558017
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2006
Last updated 10/31/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV Medicaid 0009078000
  • WV Medicaid 3810010990
  • WV Other 020935300 DOL FEDERAL BLACK LUNG PR
  • WV Other 020935302 DOL FEDERAL BLACK LUNG PR
  • WV Other 151585801 DOL FEDERAL BLACK LUNG PR
  • WV Other 000897320 MT ST BCBS GROUP NUMBER
  • WV Other 001710531 MT ST BCBS PAC PAY TO #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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