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Contact Information

UHA PED-ADOLES GRP PRACT (PAASGRP)
1 STADIUM DRIVE
MORGANTOWN, WV26506
 Phone: 304-293-5033
 Fax: 304-293-6963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for UHA PED-ADOLES GRP PRACT (PAASGRP)

NPI # 1427263664
LBN Legal business name UHA PED-ADOLES GRP PRACT (PAASGRP)
Authorized official TERRY MILLER - (PROVIDER RELATIONS ANALSYT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV License # 0007384008
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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