TWIN STATES FAMILY CARE CENTER NPI 1003907676

NPI Information

  • NPI: 1003907676
  • Provider Name: TWIN STATES FAMILY CARE CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: HIGHWAY 102
    WOLFE, WV
    ZIP 24751
  • Phone: (304) 248-8096

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NPI Details

TWIN STATES FAMILY CARE CENTER is a family medicine in Wolfe, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TWIN STATES FAMILY CARE CENTER NPI is 1003907676. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

HIGHWAY 102
WOLFE, WV
ZIP 24751
Phone: (304) 248-8096
Fax: (304) 248-8096

The provider's authorized official is Reynaldo Jose .
The authorized official title is Owner and has the following contact phone number (304) 248-8096.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 4/20/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine11738WVWEST 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D49360MEDICARE UPIN
2=========OTHEREIN
30048928000MEDICAIDWEST VIRGINIA
49326141MEDICARE PINWEST VIRGINIA
5500000190MEDICARE PIN
60820433MEDICARE 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: 11/21/2025

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