St. Albans Integrative Health Center

LBN: St. Albans Integrative Health Center
St. Albans Integrative Health Center is an health care organization with primary practice located at 200 Main St , Saint Albans WV 25177-2802. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. St. Albans Integrative Health Center can be contacted via phone (304) 201-3600, or through Kevak, Rudolph Michael via phone (304) 201-3600.

Contact Information

Primary practice address
200 Main St Saint Albans WV 25177-2802
Phone: (304) 201-3600
Fax: (304) 201-2368
Website:
Map and Directions
Authorized official contact:
Name: Kevak, Rudolph Michael Doctor of Medicine (MD)
Phone: (304) 201-3600

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 18688 West Virginia

Profile Details

NPI number 1417249459
LBN Legal business name St. Albans Integrative Health Center
DBA Doing business as
Authorized official Kevak, Rudolph Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2011
Last updated May 10th, 2011 - about 14 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 1417249459 NPPES
West Virginia MEDICAID 5600010000

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