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Contact Information

BEACON BRIDGE OF WEST VIRGINIA
5662 BRIER CREEK RD
DAVY, WV24828-8802
 Phone: 984-282-6654
 Fax: 984-208-5220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BEACON BRIDGE OF WEST VIRGINIA

NPI Number 1528873502
LBN Legal business name BEACON BRIDGE OF WEST VIRGINIA
Authorized official ALEXANDER YOUSIF - (FOUNDER & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2025
Last updated 02/07/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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