Petersburg Medical Group Ii

LBN: Larry C. Rogers
Petersburg Medical Group Ii is an health care organization with primary practice located at Memorial Dr , Petersburg WV 26847. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Larry C. Rogers can be contacted via phone (304) 257-4511, or through Rogers, Larry C via phone (304) 257-4511.

Contact Information

Primary practice address
Memorial Dr Petersburg WV 26847
Phone: (304) 257-4511
Fax: (304) 257-4511
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Larry C Doctor of Medicine (MD)
Phone: (304) 257-4511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1538347943
LBN Legal business name Larry C. Rogers
DBA Doing business as Petersburg Medical Group Ii
Authorized official Rogers, Larry C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2008
Last updated Aug 19th, 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 1538347943 NPPES
West Virginia MEDICAID 0055759000

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