Jerry N Black Surgical Suite

LBN: Jerry N Black Surgical Suite
Jerry N Black Surgical Suite is an health care organization with primary practice located at 10 Amalia Drive , Buckhannon WV 26201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Jerry N Black Surgical Suite can be contacted via phone (304) 472-2100, or through Haymond, Norma L via phone (304) 472-2100.

Contact Information

Primary practice address
10 Amalia Drive Buckhannon WV 26201
Phone: (304) 472-2100
Fax: (304) 472-2118
Website:
Map and Directions
Authorized official contact:
Name: Haymond, Norma L
Phone: (304) 472-2100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1992896310
LBN Legal business name Jerry N Black Surgical Suite
DBA Doing business as
Authorized official Haymond, Norma L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1992896310 NPPES
Other 1445304 UMWA
MEDICAID 0096696001 UMWA

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