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POZEGA WELLNESS CENTER INC NPI 1649467846


NPI Information

NPI: 1649467846
Provider Name: POZEGA WELLNESS CENTER INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 51D2055920

Address:
5324 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 925-7001
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POZEGA WELLNESS CENTER INC is a pediatrics in Charleston, WV. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. POZEGA WELLNESS CENTER INC NPI is 1649467846. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5324 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-222
Phone: (304) 925-7001
Fax: (304) 925-7234

The provider's authorized official is Mary C Pozega .
The authorized official title is Owner and has the following contact phone number (304) 925-7001.

The CLIA number assigned to this NPI record is 51D2055920 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 10/2/2007.


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
1208000000XPediatrics1512WEST 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
10111573001MEDICAIDWEST 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

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