Home Base Inc Mdgrp

LBN: Home Base Inc Mdgrp
Home Base Inc Mdgrp is an health care organization with primary practice located at 5 1/2 W Main St , Buckhannon WV 26201-2235. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Home Base Inc Mdgrp can be contacted via phone (304) 472-8707, or through Cater, Damon C. via phone (304) 472-8707.

Contact Information

Primary practice address
5 1/2 W Main St Buckhannon WV 26201-2235
Phone: (304) 472-8707
Fax: (304) 472-8978
Website:
Map and Directions
Authorized official contact:
Name: Cater, Damon C.
Phone: (304) 472-8707

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 135 West Virginia

Profile Details

NPI number 1154596757
LBN Legal business name Home Base Inc Mdgrp
DBA Doing business as
Authorized official Cater, Damon C.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - about 17 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 1154596757 NPPES
West Virginia MEDICAID 3810007185

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