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
Fax: (304) 768-9790
Website:
Authorized official contact:
Name: Moore, Franklin Scott Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #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 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 1790819373 NPPES
West Virginia MEDICAID 3810007578

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