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Contact Information

TRI COUNTY HEALTH CLINIC INC
123 QUEENS ALLY ROAD
ROCK CAVE, WV26234
 Phone: 304-924-6784
 Fax: 304-924-6891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for TRI COUNTY HEALTH CLINIC INC

NPI # 1861577090
LBN Legal business name TRI COUNTY HEALTH CLINIC INC
Authorized official CONNIE JOHNSTON - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2006
Last updated 04/18/2018 - About 8 years ago
Identifiers
WV License # SP0552311
Other 2111511 PK
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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