Manchin Clinic South, Llc

LBN: Manchin Clinic South, Llc
Manchin Clinic South, Llc is an health care organization with primary practice located at 181 Middletown Loop , White Hall WV 26554-8703. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Manchin Clinic South, Llc can be contacted via phone (304) 367-9170, or through Manchin, John via phone (304) 367-9170.

Contact Information

Primary practice address
181 Middletown Loop White Hall WV 26554-8703
Phone: (304) 367-9170
Fax: (304) 367-9180
Website:
Map and Directions
Authorized official contact:
Name: Manchin, John Doctor of Osteopathy (DO)
Phone: (304) 367-9170

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1265605208
LBN Legal business name Manchin Clinic South, Llc
DBA Doing business as
Authorized official Manchin, John Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Jul 3rd, 2024 - about 4 months 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 1265605208 NPPES
West Virginia MEDICAID 3810011616

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