Charleston Medical Center, Inc.
LBN: Charleston Medical Center, Inc.
Charleston Medical Center, Inc. is an health care organization with primary practice located at 3415 Maccorkle Ave Se Apt Eve , Charleston WV 25304-1334. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Charleston Medical Center, Inc. can be contacted via phone (304) 388-9700, or through Petts, John via phone (304) 388-7400.
Contact Information
Primary practice address
3415 Maccorkle Ave Se Apt Eve
Charleston WV 25304-1334
Phone: (304) 388-9700
Fax: (304) 388-9795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | MP0552417 | West Virginia |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1457740433 |
|---|---|
| LBN Legal business name | Charleston Medical Center, Inc. |
| DBA Doing business as | |
| Authorized official | Petts, John PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2015 |
| Last updated | May 17th, 2018 - about 6 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 | 1457740433 | NPPES |
| Other | 2149740 | PK | |
| MEDICAID | 3910007155 | PK |
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