National Provider Identifier Database

PRIDE INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

P.R.I.D.E. INC.
699 STRATTON ST
LOGAN, WV25601-4020
Phone: 304-752-6868
Fax: 304-752-1047
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for P.R.I.D.E. INC.

NPI Number 1669664231
Legal business name
LBN
P.R.I.D.E. INC.
Authorized official BRENDA YORK - (BILLING CLERK)
Entity Organization
Organization subpart No
Enumeration date 08/16/2007
Last updated 08/16/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • WV Medicaid: 3810009467

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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