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Contact Information

MINGO CARE CENTER, INC.
100 HILLCREST DR
WILLIAMSON, WV25661-3948
 Phone: 304-235-7005
 Fax: 304-752-8768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for MINGO CARE CENTER, INC.

NPI Number 1730177130
LBN Legal business name MINGO CARE CENTER, INC.
Authorized official THOMAS SPHATT - (CHIEF OF OPERATIONS & FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV License # 92
WV Medicaid 0003991000
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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