Medical Associates Of Glen Daniel

LBN: Medical Associates Of Glen Daniel
Medical Associates Of Glen Daniel is an health care organization with primary practice located at 109 Bolt Road , Glen Daniel WV 25844. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Medical Associates Of Glen Daniel can be contacted via phone (304) 934-5125, or through Gordinho, Jose Jorge via phone (304) 254-9022.

Contact Information

Primary practice address
109 Bolt Road Glen Daniel WV 25844
Phone: (304) 934-5125
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordinho, Jose Jorge Doctor of Medicine (MD)
Phone: (304) 254-9022

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X PENDING West Virginia

Profile Details

NPI number 1801815733
LBN Legal business name Medical Associates Of Glen Daniel
DBA Doing business as
Authorized official Gordinho, Jose Jorge Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 29th, 2007 - 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 1801815733 NPPES
West Virginia MEDICAID 0072202000

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