Activate Healthcare - Teamsters 175 & 505 Clinic
Clinic/Center, Primary Care in South Charleston, West Virginia
1578922878- Practice location
- 428 Division St, Suite 2, South Charleston, WV 25309-1469
- Phone
- 304-768-0321
- Fax
- 304-768-0322
- Last updated
- February 15, 2016
Activate Healthcare - Teamsters 175 & 505 Clinic is a healthcare organization based in South Charleston, WV. Activate Healthcare - Teamsters 175 & 505 Clinic practices in South Charleston, WV. The NPI Number for Activate Healthcare - Teamsters 175 & 505 Clinic is 1578922878. The current practice location address for Activate Healthcare - Teamsters 175 & 505 Clinic is 428 Division St, Suite 2, South Charleston, WV 25309-1469 and can be reached out via phone at 304-768-0321 and via fax at 304-768-0322.
Provider Profile Details
- NPI Number
- 1578922878
- Provider Name
- Activate Healthcare - Teamsters 175 & 505 Clinic
- Provider Entity Type
- Organization
- Address
- 428 Division St, Suite 2, South Charleston, WV 25309-1469
- Phone Number
- 304-768-0321
- Fax Number
- 304-768-0322
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Debra Geihsler · Principal · 773-697-3144
- Provider Enumeration Date
- February 15, 2016
- Last Update Date
- February 15, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 428 Division St
Suite 2
South Charleston, WV 25309-1469 - City
- South Charleston
- State
- West Virginia
- Zip
- 25309-1469
- Phone Number
- 304-768-0321
- Fax Number
- 304-768-0322
Provider Business Mailing Address Details
- Address
- 2010 N Damen Ave
Suite F
Chicago, IL 60647-3284 - City
- Chicago
- State
- IL
- Zip
- 60647-3284
- Phone Number
- 773-697-3144
License Information
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Primary Care providers near South Charleston, WV
View all Clinic/Center, Primary Care providers in South Charleston →Frequently Asked Questions
What is the NPI number of Activate Healthcare - Teamsters 175 & 505 Clinic?
The NPI number of Activate Healthcare - Teamsters 175 & 505 Clinic is 1578922878. It was assigned on February 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Activate Healthcare - Teamsters 175 & 505 Clinic?
Activate Healthcare - Teamsters 175 & 505 Clinic is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X).
Where does Activate Healthcare - Teamsters 175 & 505 Clinic practice?
The practice location is 428 Division St, Suite 2, South Charleston, WV 25309-1469. The office can be reached at 304-768-0321 (phone) or 304-768-0322 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578922878 directly on the NPPES registry website.