Proactive Wv Corporation

LBN: Proactive Wv Corporation
Proactive Wv Corporation is an health care organization with primary practice located at 269 Staunton Avenue Sw Suite 100, S. Charleston WV 25303. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Proactive Wv Corporation can be contacted via phone (304) 768-0321, or through Addair, Jody via phone (317) 556-0017.

Contact Information

Primary practice address
269 Staunton Avenue Sw Suite 100 S. Charleston WV 25303
Fax: (864) 990-3834
Website:
Authorized official contact:
Name: Addair, Jody

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1275379810
LBN Legal business name Proactive Wv Corporation
DBA Doing business as
Authorized official Addair, Jody
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2024
Last updated Jul 3rd, 2024 - about last year

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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