Kanawha Medical Center Inc

LBN: Kanawha Medical Center Inc
Kanawha Medical Center Inc is an health care organization with primary practice located at 4924 Maccorkle Avenue Se , Charleston WV 25304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kanawha Medical Center Inc can be contacted via phone (304) 925-1050, or through Jagannath, Thopsie V. via phone (304) 925-1050.

Contact Information

Primary practice address
4924 Maccorkle Avenue Se Charleston WV 25304
Phone: (304) 925-1050
Fax: (304) 553-0862
Website:
Map and Directions
Authorized official contact:
Name: Jagannath, Thopsie V. Doctor of Medicine (MD)
Phone: (304) 925-1050

Health care specialties

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

Profile Details

NPI number 1942247531
LBN Legal business name Kanawha Medical Center Inc
DBA Doing business as
Authorized official Jagannath, Thopsie V. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 5th, 2023 - about 2 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 1942247531 NPPES
West Virginia MEDICAID 3810003360

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