Jefferson Primary Care

LBN: Jefferson Primary Care
Jefferson Primary Care is an health care organization with primary practice located at 116 E 3Rd Ave , Ranson WV 25438-1641. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jefferson Primary Care can be contacted via phone (304) 724-7200, or through Osman, Safa Mohamed via phone (304) 724-7200.

Contact Information

Primary practice address
116 E 3Rd Ave Ranson WV 25438-1641
Phone: (304) 724-7200
Fax: (304) 724-7208
Website:
Map and Directions
Authorized official contact:
Name: Osman, Safa Mohamed Doctor of Medicine (MD)
Phone: (304) 724-7200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101241056 West Virginia

Profile Details

NPI number 1124247127
LBN Legal business name Jefferson Primary Care
DBA Doing business as
Authorized official Osman, Safa Mohamed Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Mar 9th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124247127 NPPES
West Virginia MEDICAID 0207571000

Popular Providers