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Contact Information

FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
401 ROGERS ST
PRINCETON, WV24740-3636
 Phone: 800-292-3008
 Fax: 412-291-1552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC

NPI Number 1740227909
LBN Legal business name FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
Authorized official TIMOTHY DONATELLI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2006
Last updated 02/26/2025 - More than a year ago
Identifiers
VA Medicaid 010201641
WV Medicaid 3810007768
WV Other 001706519 MOUNTAIN STATE BC BS
WV Other DD3197 RAILROAD MEDICARE
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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