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Wvupc-medicine & Specialty Office
Medical Specialty Clinic/Center in Charleston, West Virginia
NPI 1568769354

Wvupc-medicine & Specialty Office is a Medical Specialty Clinic/Center based in Morgantown, WV and is specialized in Medical Specialty. Wvupc-medicine & Specialty Office practices in Charleston, WV. The NPI Number for Wvupc-medicine & Specialty Office is 1568769354 and holds a License No. (West Virginia).

The current practice location address for Wvupc-medicine & Specialty Office is 4522 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-347-1296 and via fax at 304-347-1394.

Location: 4522 Maccorkle Ave Se, Charleston, WV, 26507-7000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568769354
Provider Name
Wvupc-medicine & Specialty Office
Credential
Provider Entity Type
Organization
Address
4522 Maccorkle Ave Se, Charleston, WV, 26507-7000
Phone Number
304-347-1296
Fax Number
304-347-1394
Provider Enumeration Date
02/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00 01 WV WC FACILITY SUFFIX
4002106000 05 WV
51D0695014 01 WV CLIA FACILITY LAB NUMBER
121 01 WV WV BLUE SHIELD SUFFIX
institution
Provider Business Practice Location Address Details
Address
4522 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1840
Phone Number
304-347-1296
Fax Number
304-347-1394
person
Provider Business Mailing Address Details
Address
4522 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1840
Phone Number
304-347-1296
Fax Number
304-347-1394
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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