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Contact Information

PEDIATRIC LUNG & ASTHMA CENTER, PLLC
1284 SUNCREST TOWN CENTRE DR
MORGANTOWN, WV26505-1828
 Phone: 304-284-8999
 Fax: 304-284-9777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Community Based Residential Treatment Facility, Mental Illness

320800000X
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC LUNG & ASTHMA CENTER, PLLC

NPI Number 1740685932
LBN Legal business name PEDIATRIC LUNG & ASTHMA CENTER, PLLC
Authorized official TALIA SOTOMAYOR VALENZUELA - (PEDIATRIC PULMONOLOGIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/30/2014
Last updated 03/07/2023 - About 3 years ago
Identifiers
WV License # 22524
WY Medicaid 3910006278
WV Other 162849 UPIN
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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