Tabula Rasa, Pllc

LBN: Tabula Rasa, Pllc
Tabula Rasa, Pllc is an health care organization with primary practice located at 1296 Robert C. Byrd Drive , Crab Orchard WV 25827. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Tabula Rasa, Pllc can be contacted via phone (681) 238-5957, or through Blankenship, Kevin via phone (681) 238-5957.

Contact Information

Primary practice address
1296 Robert C. Byrd Drive Crab Orchard WV 25827
Phone: (681) 238-5957
Fax: (681) 238-5958
Website:
Map and Directions
Authorized official contact:
Name: Blankenship, Kevin Doctor of Medicine (MD)
Phone: (681) 238-5957

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 19121 West Virginia

Profile Details

NPI number 1407396773
LBN Legal business name Tabula Rasa, Pllc
DBA Doing business as
Authorized official Blankenship, Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2017
Last updated Mar 6th, 2017 - about 7 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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