Emergency Medicine Physicians Of Kanawha County, Pllc

LBN: Emergency Medicine Physicians Of Kanawha County, Pllc
Emergency Medicine Physicians Of Kanawha County, Pllc is an health care organization with primary practice located at 4605 Maccorkle Ave Sw , South Charleston WV 25309-1311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Emergency Medicine Physicians Of Kanawha County, Pllc can be contacted via phone (330) 493-4443, or through Packo, David C via phone (330) 493-4443.

Contact Information

Primary practice address
4605 Maccorkle Ave Sw South Charleston WV 25309-1311
Phone: (330) 493-4443
Fax: (330) 493-8677
Website:
Map and Directions
Authorized official contact:
Name: Packo, David C Doctor of Medicine (MD)
Phone: (330) 493-4443

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1326087289
LBN Legal business name Emergency Medicine Physicians Of Kanawha County, Pllc
DBA Doing business as
Authorized official Packo, David C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 23rd, 2007 - about 18 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 1326087289 NPPES
Ohio MEDICAID 2044353
Ohio MEDICAID 0010890000

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