South Charleston Pediatrics

LBN: South Charleston Pediatrics
South Charleston Pediatrics is an health care organization with primary practice located at 4607 Maccorkle Ave Sw Ste 400, Charleston WV 25309-1364. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. South Charleston Pediatrics can be contacted via phone (304) 766-4400, or through Ray, Jamie Beth via phone (304) 766-4469.

Contact Information

Primary practice address
4607 Maccorkle Ave Sw Ste 400 Charleston WV 25309-1364
Phone: (304) 766-4400
Fax: (304) 766-4417
Website:
Map and Directions
Authorized official contact:
Name: Ray, Jamie Beth
Phone: (304) 766-4469

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X West Virginia

Profile Details

NPI number 1962563593
LBN Legal business name South Charleston Pediatrics
DBA Doing business as
Authorized official Ray, Jamie Beth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1962563593 NPPES
West Virginia MEDICAID 6705182000

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