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Contact Information

HEARTLAND OF CLARKSBURG WV LLC
100 PARKWAY DR
CLARKSBURG, WV26301-4357
 Phone: 304-624-6401
 Fax: 304-624-8026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for HEARTLAND OF CLARKSBURG WV LLC

NPI # 1043255433
LBN Legal business name HEARTLAND OF CLARKSBURG WV LLC
Authorized official BARRY LAZARUS - (VICE PRESIDENT - REIMBURSEMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2006
Last updated 04/16/2008 - About 18 years ago
Identifiers
WV License # 79
WV Medicaid 0003744000
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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