Charleston Family Health Assoc

LBN: Charleston Family Health Assoc
Charleston Family Health Assoc is an health care organization with primary practice located at 1218 Virginia Street East Suite A, Charleston WV 25301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Charleston Family Health Assoc can be contacted via phone (304) 345-8500, or through Fr, Debra Lynn via phone (304) 345-8500.

Contact Information

Primary practice address
1218 Virginia Street East Suite A Charleston WV 25301
Phone: (304) 345-8500
Fax: (304) 345-8979
Website:
Map and Directions
Authorized official contact:
Name: Fr, Debra Lynn
Phone: (304) 345-8500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17020 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17129 West Virginia

Profile Details

NPI number 1891886636
LBN Legal business name Charleston Family Health Assoc
DBA Doing business as
Authorized official Fr, Debra Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1891886636 NPPES
West Virginia MEDICAID 0011206000

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