Appalachian Highway Medical & Surgical Clinic, Pllc

LBN: Appalachian Highway Medical & Surgical Clinic, Pllc
Appalachian Highway Medical & Surgical Clinic, Pllc is an health care organization with primary practice located at Appalachian Hwy, Rt. 10 East Pineville , Pineville WV 24874-1274. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Appalachian Highway Medical & Surgical Clinic, Pllc can be contacted via phone (304) 732-9045, or through Lao, Dominador Yti via phone (304) 732-9045.

Contact Information

Primary practice address
Appalachian Hwy, Rt. 10 East Pineville Pineville WV 24874-1274
Fax: (304) 732-9055
Website:
Authorized official contact:
Name: Lao, Dominador Yti Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 12700 West Virginia

Profile Details

NPI number 1255403002
LBN Legal business name Appalachian Highway Medical & Surgical Clinic, Pllc
DBA Doing business as
Authorized official Lao, Dominador Yti Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jan 7th, 2019 - about 6 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 1255403002 NPPES
West Virginia Other 200001780 RAILROAD MEDICARE
West Virginia Other 00182204 RAILROAD MEDICARE
West Virginia MEDICAID 0128304001 RAILROAD MEDICARE
West Virginia Other 57799 RAILROAD MEDICARE
West Virginia Other 1220372 RAILROAD MEDICARE

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