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Wvupc-camc Fam Med Surgery Center
Medical Specialty Clinic/Center in Charleston, West Virginia
NPI 1912204702

Wvupc-camc Fam Med Surgery Center is a Medical Specialty Clinic/Center based in Morgantown, WV and is specialized in Medical Specialty. Wvupc-camc Fam Med Surgery Center practices in Charleston, WV. The NPI Number for Wvupc-camc Fam Med Surgery Center is 1912204702 and holds a License No. (West Virginia).

The current practice location address for Wvupc-camc Fam Med Surgery Center is 1201 Washington St E, Charleston, WV and can be reached out via phone at 304-347-1296.

Location: 1201 Washington St E, Charleston, WV, 26507-7000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912204702
Provider Name
Wvupc-camc Fam Med Surgery Center
Credential
Provider Entity Type
Organization
Address
1201 Washington St E, Charleston, WV, 26507-7000
Phone Number
304-347-1296
Fax Number
Provider Enumeration Date
02/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6705038001 01 WV FACILTY EPSDT NUMBER
400210600 05 WV
51D0865570 01 WV CLIA FACILITY LAB NUMBER
101 01 WV WV BLUE SHIELD SUFFIX
institution
Provider Business Practice Location Address Details
Address
1201 Washington St E
City
Charleston
State
West Virginia
Zip
25301-1834
Phone Number
304-347-1296
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Washington St E
City
Charleston
State
West Virginia
Zip
25301-1834
Phone Number
304-347-1296
Fax Number
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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