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Contact Information

GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC
202 MAPLEWOOD AVE
RONCEVERTE, WV24970-1334
 Phone: 304-647-6001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC

NPI # 1760676407
LBN Legal business name GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC
Authorized official JENNIFER JACKSON - (SENIOR DIRECTOR, ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2007
Last updated 01/24/2022 - About 4 years ago
Identifiers
WV Medicaid 3810010621
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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