Rupert Primary Care

LBN: Alleghany Medical Services Pc
Rupert Primary Care is an health care organization with primary practice located at 1109 Greenbier St , Rupert WV 25984. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Alleghany Medical Services Pc can be contacted via phone (304) 392-5381, or through Gordinho, J Jorge via phone (304) 254-9022.

Contact Information

Primary practice address
1109 Greenbier St Rupert WV 25984
Phone: (304) 392-5381
Fax: (304) 392-5351
Website:
Map and Directions
Authorized official contact:
Name: Gordinho, J Jorge Doctor of Medicine (MD)
Phone: (304) 254-9022

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1518970243
LBN Legal business name Alleghany Medical Services Pc
DBA Doing business as Rupert Primary Care
Authorized official Gordinho, J Jorge Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Apr 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518970243 NPPES
West Virginia MEDICAID 3810006041
West Virginia MEDICAID 5303001000
West Virginia Other P00177367
West Virginia MEDICAID 0072202000
West Virginia Other CK7027

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