Prestige Primary Care Associates, Pllc
LBN: Prestige Primary Care Associates, Pllc
Prestige Primary Care Associates, Pllc is an health care organization with primary practice located at 4501 Maccorkle Ave Sw Suite 301, South Charleston WV 25309-1444. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Prestige Primary Care Associates, Pllc can be contacted via phone (304) 768-0700, or through Moore, Franklin Scott via phone (304) 768-0700.
Contact Information
Primary practice address
4501 Maccorkle Ave Sw Suite 301
South Charleston WV 25309-1444
Phone: (304) 768-0700
Fax: (304) 768-9790
Website:
Authorized official contact:
Name: Moore, Franklin Scott Doctor of Osteopathy (DO)
Phone: (304) 768-0700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1212 | West Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1390 | West Virginia |
Profile Details
| NPI number | 1790819373 |
|---|---|
| LBN Legal business name | Prestige Primary Care Associates, Pllc |
| DBA Doing business as | |
| Authorized official | Moore, Franklin Scott Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Oct 16th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790819373 | NPPES |
| West Virginia | MEDICAID | 3810007578 |
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