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Contact Information

CRAB ORCHARD MEDICAL ASSOC. INC.
1701 ROBERT C. BYRD DRIVE
CRAB ORCHARD, WV25827
 Phone: 304-253-8336
 Fax: 304-253-8337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CRAB ORCHARD MEDICAL ASSOC. INC.

NPI Number 1730378928
LBN Legal business name CRAB ORCHARD MEDICAL ASSOC. INC.
Authorized official MARIZA LIRIO - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2007
Last updated 10/24/2007 - About 19 years ago
Identifiers
WV License # 12066
WV Medicaid 0038505000
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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