South Charleston Primary Care

LBN: South Charleston Primary Care
South Charleston Primary Care is an health care organization with primary practice located at 312 6Th Ave Suite 3, South Charleston WV 25303-1242. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. South Charleston Primary Care can be contacted via phone (304) 744-4532, or through Coleman, Terri Jo via phone (304) 744-4532.

Contact Information

Primary practice address
312 6Th Ave Suite 3 South Charleston WV 25303-1242
Phone: (304) 744-4532
Fax: (304) 744-3219
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Terri Jo
Phone: (304) 744-4532

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10611 West Virginia

Profile Details

NPI number 1689758476
LBN Legal business name South Charleston Primary Care
DBA Doing business as
Authorized official Coleman, Terri Jo
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1689758476 NPPES
West Virginia MEDICAID 0009405002

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