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Contact Information

COAL RIVER PRIMARY CARE AND WELLNESS CENTER LLC
62 FORK CREEK RD
NELLIS, WV25142-9737
 Phone: 304-833-0815
 Fax: 304-833-0030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for COAL RIVER PRIMARY CARE AND WELLNESS CENTER LLC

NPI # 1487284451
LBN Legal business name COAL RIVER PRIMARY CARE AND WELLNESS CENTER LLC
Authorized official REBECCA BARKER - (SOLE OWNER; FNP-BC)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2020
Last updated 04/05/2022 - About 4 years ago
Identifiers n/a
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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