Magnolia Family Medicine, Pllc

LBN: Magnolia Family Medicine, Pllc
Magnolia Family Medicine, Pllc is an health care organization with primary practice located at 3 Ceritos Trail , Martinsburg WV 25403-0300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Magnolia Family Medicine, Pllc can be contacted via phone (304) 267-6249, or through Swalm, Jason Bryce via phone (304) 267-6249.

Contact Information

Primary practice address
3 Ceritos Trail Martinsburg WV 25403-0300
Phone: (304) 267-6249
Fax: (304) 267-6248
Website:
Map and Directions
Authorized official contact:
Name: Swalm, Jason Bryce Doctor of Osteopathy (DO)
Phone: (304) 267-6249

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2952 West Virginia

Profile Details

NPI number 1598212185
LBN Legal business name Magnolia Family Medicine, Pllc
DBA Doing business as
Authorized official Swalm, Jason Bryce Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Nov 14th, 2016 - about 8 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 1598212185 NPPES
West Virginia MEDICAID 1962745950

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