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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

31ST STREET MEDICAL CLINIC
LBN RICHARD L DEL CHECCOLO MD INC
410 31ST ST
HUNTINGTON, WV25702-1420
 Phone: 304-525-9100
 Fax: 304-525-4402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for 31ST STREET MEDICAL CLINIC

NPI # 1710079595
LBN Legal business name RICHARD L DEL CHECCOLO MD INC
DBA Doing business as 31ST STREET MEDICAL CLINIC
Authorized official RICHARD DEL CHECCOLO - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 03/12/2013 - About 6 years ago
Identifiers
WV Medicaid 0050362000
WV Other 001713811 MOUNTAIN STATE BCBS
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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