Potomac Highlands Guild

LBN: Potomac Highlands Guild
Potomac Highlands Guild is an health care organization with primary practice located at 7 Mountain View St , Petersburg WV 26847-1796. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Potomac Highlands Guild can be contacted via phone (304) 257-1555, or through Hendrix, Carol D via phone (304) 257-1155.

Contact Information

Primary practice address
7 Mountain View St Petersburg WV 26847-1796
Phone: (304) 257-1555
Fax: (304) 257-1945
Website:
Map and Directions
Authorized official contact:
Name: Hendrix, Carol D
Phone: (304) 257-1155

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1036-8848 West Virginia

Profile Details

NPI number 1205165347
LBN Legal business name Potomac Highlands Guild
DBA Doing business as
Authorized official Hendrix, Carol D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2009
Last updated Aug 3rd, 2022 - about 3 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 1205165347 NPPES
West Virginia MEDICAID 0005473000
West Virginia MEDICAID 0005473002
West Virginia MEDICAID 0005473001

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