Madison Medical, Pllc

LBN: Madison Medical, Pllc
Madison Medical, Pllc is an health care organization with primary practice located at 467 Main St Suite 200, Madison WV 25130-2200. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Madison Medical, Pllc can be contacted via phone (304) 369-5170, or through Atkins, Robert B via phone (304) 369-5170.

Contact Information

Primary practice address
467 Main St Suite 200 Madison WV 25130-2200
Phone: (304) 369-5170
Fax: (304) 369-0946
Website:
Map and Directions
Authorized official contact:
Name: Atkins, Robert B Doctor of Medicine (MD)
Phone: (304) 369-5170

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 11402 West Virginia

Profile Details

NPI number 1629035449
LBN Legal business name Madison Medical, Pllc
DBA Doing business as
Authorized official Atkins, Robert B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 24th, 2010 - about 16 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 1629035449 NPPES
West Virginia MEDICAID 0011063000

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