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RALEIGH GENERAL HOSPITAL LLC NPI 1730440090


NPI Information

NPI: 1730440090
Provider Name: RALEIGH GENERAL HOSPITAL LLC

Doing Business As: ADVANCED UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 51D2046168

Address:
1717 HARPER RD
BECKLEY, WV
ZIP 25801
Phone: (304) 461-3922
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RALEIGH GENERAL HOSPITAL LLC is an urology in Beckley, WV. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. RALEIGH GENERAL HOSPITAL LLC NPI is 1730440090. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Urology.

The provider's business location address is:

1717 HARPER RD
BECKLEY, WV
ZIP 25801-373
Phone: (304) 461-3922
Fax: (304) 461-3916

The provider's authorized official is Robert Klein .
The authorized official title is President and has the following contact phone number (615) 372-8500.

The CLIA number assigned to this NPI record is 51D2046168 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/4/2012 and was last updated on 10/25/2012.


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
1208800000XUrologyYes

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
15100702MEDICARE 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

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