National Provider Identifier Database

CENTRAL WV MEDCORP INC
Geriatric Medicine

An internist who has 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.

Contact Information

CENTRAL WV MEDCORP, INC.
11 N LOCUST ST
BUCKHANNON, WV  26201-2231
Phone: 304-472-1600
Fax: 304-472-6382
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207RG0300X
Emergency Medicine 207P00000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Otolaryngology 207Y00000X
Pediatrics 208000000X
Professional 101YP2500X
Surgery 208600000X
Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for CENTRAL WV MEDCORP, INC.

NPI Number 1275558017
Legal business name
LBN		 CENTRAL WV MEDCORP, INC.
Authorized official REBECCA HAMMER - (CFO)
Entity Organization
Organization subpart No
Enumeration date 07/13/2006
Last updated 10/31/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • WV Medicaid: 0009078000
  • WV Medicaid: 3810010990
  • WV Other: 020935300 DOL FEDERAL BLACK LUNG PR
  • WV Other: 020935302 DOL FEDERAL BLACK LUNG PR
  • WV Other: 151585801 DOL FEDERAL BLACK LUNG PR
  • WV Other: 000897320 MT ST BCBS GROUP NUMBER
  • WV Other: 001710531 MT ST BCBS PAC PAY TO #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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