Putnam Family Practice Associates Inc.
LBN: Putnam Family Practice Associates Inc.
Putnam Family Practice Associates Inc. is an health care organization with primary practice located at 3952 Teays Valley Rd , Hurricane WV 25526-8728. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Putnam Family Practice Associates Inc. can be contacted via phone (304) 757-6736, or through Peterson, Randall Watson via phone (304) 757-6736.
Contact Information
Primary practice address
3952 Teays Valley Rd
Hurricane WV 25526-8728
Phone: (304) 757-6736
Fax: (304) 757-0582
Website:
Authorized official contact:
Name: Peterson, Randall Watson Doctor of Medicine (MD)
Phone: (304) 757-6736
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14044 | West Virginia |
Profile Details
| NPI number | 1114062031 |
|---|---|
| LBN Legal business name | Putnam Family Practice Associates Inc. |
| DBA Doing business as | |
| Authorized official | Peterson, Randall Watson Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Oct 7th, 2011 - about 13 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 | 1114062031 | NPPES |
| West Virginia | MEDICAID | 0057148000 | |
| West Virginia | Other | 1184694739 |
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