Coal River Primary

LBN: Coal River Primary Care And Wellness Center Llc
Coal River Primary is an health care organization with primary practice located at 62 Fork Creek Rd , Nellis WV 25142-9737. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Coal River Primary Care And Wellness Center Llc can be contacted via phone (304) 833-0815, or through Barker, Rebecca Ruby via phone (304) 833-0815.

Contact Information

Primary practice address
62 Fork Creek Rd Nellis WV 25142-9737
Phone: (304) 833-0815
Fax: (304) 833-0030
Website:
Map and Directions
Authorized official contact:
Name: Barker, Rebecca Ruby Family Nurse Practitioner (FNP)
Phone: (304) 833-0815

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X

Profile Details

NPI number 1487284451
LBN Legal business name Coal River Primary Care And Wellness Center Llc
DBA Doing business as Coal River Primary
Authorized official Barker, Rebecca Ruby Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2020
Last updated Apr 5th, 2022 - about 3 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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