Central Wv Derm Assoc Inc

LBN: Central Wv Derm Assoc Inc
Central Wv Derm Assoc Inc is an health care organization with primary practice located at 170 Thompson Dr Suite 200, Bridgeport WV 26330-2608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Central Wv Derm Assoc Inc can be contacted via phone (304) 842-3494, or through Daniel, Georgia Dawn via phone (304) 842-3494.

Contact Information

Primary practice address
170 Thompson Dr Suite 200 Bridgeport WV 26330-2608
Phone: (304) 842-3494
Fax: (304) 842-2339
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Georgia Dawn CRNP
Phone: (304) 842-3494

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1669583589
LBN Legal business name Central Wv Derm Assoc Inc
DBA Doing business as
Authorized official Daniel, Georgia Dawn CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 10th, 2009 - about 15 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 1669583589 NPPES
West Virginia MEDICAID 3810003851
West Virginia MEDICAID 2624959
West Virginia MEDICAID 1019121420001
West Virginia MEDICAID 2624968

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