Montgomery Medcorp, Inc.

LBN: Montgomery Medcorp, Inc.
Montgomery Medcorp, Inc. is an health care organization with primary practice located at 401 6Th Ave , Montgomery WV 25136-2116. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Montgomery Medcorp, Inc. can be contacted via phone (304) 442-5151, or through Sizemore, Angela via phone (304) 442-1251.

Contact Information

Primary practice address
401 6Th Ave Montgomery WV 25136-2116
Phone: (304) 442-5151
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sizemore, Angela
Phone: (304) 442-1251

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1619061702
LBN Legal business name Montgomery Medcorp, Inc.
DBA Doing business as
Authorized official Sizemore, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1619061702 NPPES
West Virginia MEDICAID 4000066000

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