Charleston Internal Medicine Inc
LBN: Charleston Internal Medicine Inc
Charleston Internal Medicine Inc is an health care organization with primary practice located at 3701 Maccorkle Ave Se , Charleston WV 25304-1525. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Charleston Internal Medicine Inc can be contacted via phone (304) 720-2345, or through Bowden, Roy Thomas via phone (304) 720-2345.
Contact Information
Primary practice address
3701 Maccorkle Ave Se
Charleston WV 25304-1525
Phone: (304) 720-2345
Fax: (304) 720-2347
Website:
Authorized official contact:
Name: Bowden, Roy Thomas Doctor of Osteopathy (DO)
Phone: (304) 720-2345
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1033206263 |
|---|---|
| LBN Legal business name | Charleston Internal Medicine Inc |
| DBA Doing business as | |
| Authorized official | Bowden, Roy Thomas Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Oct 4th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033206263 | NPPES |
| West Virginia | MEDICAID | 3810004289 |
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