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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 Specialty Code Provider Type

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for BRUCETON MEDICAL CENTER

NPI Number 1811261225
LBN Legal business name BRUCETON MEDICAL CENTER
Authorized official ROBERT PHARES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2012
Last updated 07/31/2013 - About 13 years ago
Identifiers
WV Medicaid 2005711000
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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