Bruceton Medical Center

LBN: Bruceton Medical Center
Bruceton Medical Center is an health care organization with primary practice located at 198 Morgantown Street Suite B, Bruceton Mills WV 26525. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Bruceton Medical Center can be contacted via phone (304) 379-7600, or through Phares, Robert via phone (304) 379-7600.

Contact Information

Primary practice address
198 Morgantown Street Suite B Bruceton Mills WV 26525
Fax: (304) 379-7599
Website:
Authorized official contact:
Name: Phares, Robert Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1811261225
LBN Legal business name Bruceton Medical Center
DBA Doing business as
Authorized official Phares, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2012
Last updated Jul 31st, 2013 - about 11 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 1811261225 NPPES
West Virginia MEDICAID 2005711000

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