Tri-State Allergy, Inc

LBN: Tri-State Allergy, Inc
Tri-State Allergy, Inc is an health care organization with primary practice located at 1001 20Th Street , Huntington WV 25703. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. Tri-State Allergy, Inc can be contacted via phone (304) 529-6100, or through Wilson, Matthew C via phone (304) 529-6100.

Contact Information

Primary practice address
1001 20Th Street Huntington WV 25703
Phone: (304) 529-6100
Fax: (304) 529-0229
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Matthew C Doctor of Medicine (MD)
Phone: (304) 529-6100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X

Profile Details

NPI number 1902906019
LBN Legal business name Tri-State Allergy, Inc
DBA Doing business as
Authorized official Wilson, Matthew C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 5th, 2014 - about 11 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 1902906019 NPPES
West Virginia MEDICAID 0011693000
West Virginia MEDICAID 659300083
West Virginia MEDICAID L0874442
West Virginia MEDICAID L0489556
West Virginia MEDICAID 64694763
West Virginia MEDICAID L0968403
West Virginia MEDICAID 0044083000
West Virginia MEDICAID 0070510000
West Virginia MEDICAID 64698772

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