Provider Type Icon

SANDAL INC NPI 1003017492


NPI Information

NPI: 1003017492
Provider Name: SANDAL, INC

Doing Business As: EMERSON HEALTHCARE

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2910 EMERSON AVE
PARKERSBURG, WV
ZIP 26104
Phone: (304) 428-1900
Get Directions

SANDAL, INC is a preferred provider organization in Parkersburg, WV. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. SANDAL, INC NPI is 1003017492. The provider is registered as an organization entity type.
The provider Is Doing Business As Emerson Healthcare.

The provider's business location address is:

2910 EMERSON AVE
PARKERSBURG, WV
ZIP 26104-519
Phone: (304) 428-1900
Fax: (304) 428-1976

The provider's authorized official is Allan Dip Figueroa .
The authorized official title is Physician and has the following contact phone number (304) 428-1900.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 11/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization14444WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10049665000MEDICAIDWEST VIRGINIA
2C35136MEDICARE UPINWEST VIRGINIA
30503606MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.