Charleston Cardiology Group Pllc

LBN: Charleston Cardiology Group Pllc
Charleston Cardiology Group Pllc is an health care organization with primary practice located at 3100 Maccorkle Ave Suite 709, Charleston WV 25304-1223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Charleston Cardiology Group Pllc can be contacted via phone (304) 342-1184, or through Lilly, Donald R via phone (304) 342-1184.

Contact Information

Primary practice address
3100 Maccorkle Ave Suite 709 Charleston WV 25304-1223
Phone: (304) 342-1184
Fax: (304) 343-8487
Website:
Map and Directions
Authorized official contact:
Name: Lilly, Donald R Doctor of Medicine (MD)
Phone: (304) 342-1184

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1770558165
LBN Legal business name Charleston Cardiology Group Pllc
DBA Doing business as
Authorized official Lilly, Donald R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1770558165 NPPES
West Virginia MEDICAID 3810004453

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