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Contact Information

SUMMERSVILLE FAMILY MEDICINE INC
211 MERCHANTS WALK
SHOPPING CENTER
SUMMERSVILLE, WV26651-1901
 Phone: 304-645-4043
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SUMMERSVILLE FAMILY MEDICINE INC

NPI # 1437426780
LBN Legal business name SUMMERSVILLE FAMILY MEDICINE INC
Authorized official RICHARD TRENBATH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2011
Last updated 10/10/2016 - About 10 years ago
Identifiers
WV License # 12758
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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