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Primary Oncology Network Pllc
Non-Pharmacy Dispensing Site in Fairmont, West Virginia
NPI 1588610570

Primary Oncology Network Pllc is a Non-Pharmacy Dispensing Site based in Fairmont, WV. Primary Oncology Network Pllc practices in Fairmont, WV. The NPI Number for Primary Oncology Network Pllc is 1588610570 and holds a License No. (West Virginia).

The current practice location address for Primary Oncology Network Pllc is 1325 Locust Ave Ste 15, Fairmont, WV and can be reached out via phone at 304-366-0111 and via fax at 304-366-2099.

Location: 1325 Locust Ave Ste 15, Fairmont, WV, 26555-1286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588610570
Provider Name
Primary Oncology Network Pllc
Credential
Provider Entity Type
Organization
Address
1325 Locust Ave Ste 15, Fairmont, WV, 26555-1286
Phone Number
304-366-0111
Fax Number
304-366-2099
Provider Enumeration Date
05/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0204568000 05 WV
CH6378 01 WV RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1325 Locust Ave Ste 15
City
Fairmont
State
West Virginia
Zip
26554-1435
Phone Number
304-366-0111
Fax Number
304-366-2099
person
Provider Business Mailing Address Details
Address
1325 Locust Ave Ste 15
City
Fairmont
State
West Virginia
Zip
26554-1435
Phone Number
304-366-0111
Fax Number
304-366-2099
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
26308 (West Virginia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
17192 (West Virginia)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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