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Contact Information

WEST VIRGINIA UNIVERSITY PHYSICIAN OF CHARLESTON-VALLEY CENTER
1000 LINCOLN DR
SOUTH CHARLESTON, WV25309-2304
 Phone: 304-768-4410
 Fax: 304-768-4416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for WEST VIRGINIA UNIVERSITY PHYSICIAN OF CHARLESTON-VALLEY CENTER

NPI Number 1790924454
LBN Legal business name WEST VIRGINIA UNIVERSITY PHYSICIAN OF CHARLESTON-VALLEY CENTER
Authorized official ROBYN MCDANIEL - (PROVIDER RELATIONS SUPERVISOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/19/2009
Last updated 02/19/2009 - About 17 years ago
Identifiers
WV Medicaid 4002106000
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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