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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

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

NPI Number 1669664231
LBN Legal business name P.R.I.D.E. INC.
Authorized official BRENDA YORK - (BILLING CLERK)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2007
Last updated 08/16/2007 - About 19 years ago
Identifiers
WV Medicaid 3810009467
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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