THREE RIVERS CLINIC LLC NPI 1023612504

NPI Information

NPI: 1023612504
Provider Name: THREE RIVERS CLINIC, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 51D2207639

Address:
158 HINTON BYP
HINTON, WV
ZIP 25951
Phone: (304) 309-4143
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THREE RIVERS CLINIC, LLC is a health service clinic center in Hinton, WV. THREE RIVERS CLINIC, LLC NPI is 1023612504. The provider is registered as an organization entity type.

The provider's business location address is:

158 HINTON BYP
HINTON, WV
ZIP 25951-184
Phone: (304) 309-4143
Fax: (304) 309-4146

The provider's authorized official is Kimberley Dawn Huffman .
The authorized official title is Office Mgr / President and has the following contact phone number (304) 309-4143.

The CLIA number assigned to this NPI record is 51D2207639 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/25/2020 and was last updated on 3/9/2021.

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	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
2	261QU0200X	Clinic/Center	Urgent Care	No
3	261QH0100X	Clinic/Center	Health Service	Yes

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

NPI Synchronization or Removal

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