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Contact Information

POTOMAC COMPREHENSIVE DIAGNOSTIC AND GUIDANCE CENTER INC
ONE BLUE STREET
ROMNEY, WV26757
 Phone: 304-822-3861
 Fax: 304-822-4297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for POTOMAC COMPREHENSIVE DIAGNOSTIC AND GUIDANCE CENTER INC

NPI Number 1700961844
LBN Legal business name POTOMAC COMPREHENSIVE DIAGNOSTIC AND GUIDANCE CENTER INC
Authorized official DAVID PLOWRIGHT - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV License # WVDHHR213
WV Medicaid 0003198001
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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