National Provider Identifier Database

BRUCETON MEDICAL CENTER
Primary Care


Contact Information

BRUCETON MEDICAL CENTER
198 MORGANTOWN STREET
SUITE B
BRUCETON MILLS, WV26525
Phone: 304-379-7600
Fax: 304-379-7599
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for BRUCETON MEDICAL CENTER

NPI Number 1811261225
Legal business name
LBN
BRUCETON MEDICAL CENTER
Authorized official ROBERT PHARES - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/02/2012
Last updated 07/31/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • WV Medicaid: 2005711000

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.

Reviews for BRUCETON MEDICAL CENTER

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