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Contact Information

GREENBRIER VMC LLC
202 MAPLEWOOD AVE
RONCEVERTE, WV24970-1334
 Phone: 304-647-4411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for GREENBRIER VMC LLC

NPI Number 1275546996
LBN Legal business name GREENBRIER VMC LLC
Authorized official DEBBIE BREWER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2006
Last updated 12/05/2008 - About 18 years ago
Identifiers
SC Medicaid 0106041003
Other CJ9984 MEDICARE RR
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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