31St Street Medical Clinic
LBN: Richard L Del Checcolo Md Inc
31St Street Medical Clinic is an health care organization with primary practice located at 410 31St St , Huntington WV 25702-1420. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Richard L Del Checcolo Md Inc can be contacted via phone (304) 525-9100, or through Del Checcolo, Richard Layne via phone (304) 525-9100.
Contact Information
Primary practice address
410 31St St
Huntington WV 25702-1420
Phone: (304) 525-9100
Fax: (304) 525-4402
Website:
Authorized official contact:
Name: Del Checcolo, Richard Layne Doctor of Medicine (MD)
Phone: (304) 525-9100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1710079595 |
|---|---|
| LBN Legal business name | Richard L Del Checcolo Md Inc |
| DBA Doing business as | 31St Street Medical Clinic |
| Authorized official | Del Checcolo, Richard Layne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Mar 12th, 2013 - about 11 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 | 1710079595 | NPPES |
| West Virginia | Other | 001713811 | MOUNTAIN STATE BCBS |
| West Virginia | MEDICAID | 0050362000 | MOUNTAIN STATE BCBS |
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