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LONGEVITY CLINICAL LTC ASSOCIATES OF WEST VIRGINIA, PLLC

Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

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Contact Information

LONGEVITY CLINICAL LTC ASSOCIATES OF WEST VIRGINIA, PLLC
1545 COUNTRY CLUB RD
FAIRMONT, WV  26554-1306
 Phone: 561-815-2427
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

 207QG0300X 08 Physician/Family Practice
 

Family Medicine

 207Q00000X 08 Physician/Family Practice
 

Gerontology

 363LG0600X 50 Nurse Practitioner
 

Primary Care

 363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LONGEVITY CLINICAL LTC ASSOCIATES OF WEST VIRGINIA, PLLC

NPI Number 1467271809
LBN Legal business name LONGEVITY CLINICAL LTC ASSOCIATES OF WEST VIRGINIA, PLLC
Authorized official DIANE VINCUR - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2024
Last updated 10/03/2024 - 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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