Southern Roane Medical Clinic

LBN: Hospital Development Co
Southern Roane Medical Clinic is an health care organization with primary practice located at 1 Library Ln , Left Hand WV 25251-9745. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Hospital Development Co can be contacted via phone (304) 927-6819, or through Bentz, Doug via phone (304) 927-6200.

Contact Information

Primary practice address
1 Library Ln Left Hand WV 25251-9745
Phone: (304) 927-6819
Fax: (304) 927-6837
Website:
Map and Directions
Authorized official contact:
Name: Bentz, Doug
Phone: (304) 927-6200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 74 West Virginia

Profile Details

NPI number 1790745677
LBN Legal business name Hospital Development Co
DBA Doing business as Southern Roane Medical Clinic
Authorized official Bentz, Doug
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 24th, 2006
Last updated Nov 8th, 2010 - about 14 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 1790745677 NPPES
West Virginia MEDICAID 3810004237

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