South Charleston Pediatrics

LBN: South Charleston Pediatrics
South Charleston Pediatrics is an health care organization with primary practice located at 830 Pennsylvania Avenue Suite 110, Charleston WV 25302. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. South Charleston Pediatrics can be contacted via phone (304) 982-7031, or through Fisher, Jennifer via phone (304) 982-7334.

Contact Information

Primary practice address
830 Pennsylvania Avenue Suite 110 Charleston WV 25302
Phone: (304) 982-7031
Fax: (304) 766-9450
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Jennifer
Phone: (304) 982-7334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1639251036
LBN Legal business name South Charleston Pediatrics
DBA Doing business as
Authorized official Fisher, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 21st, 2022 - about 2 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 1639251036 NPPES
West Virginia MEDICAID 4005199000

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