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ASSOCIATED FAMILY PRACTICE INC NPI 1043376932


NPI Information

NPI: 1043376932
Provider Name: ASSOCIATED FAMILY PRACTICE, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5220 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 720-6735
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ASSOCIATED FAMILY PRACTICE, INC is a family medicine in South Charleston, 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. ASSOCIATED FAMILY PRACTICE, INC NPI is 1043376932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5220 MACCORKLE AVE SW
SOUTH CHARLESTON, WV
ZIP 25309-010
Phone: (304) 720-6735
Fax: (304) 720-6737

The provider's authorized official is D Duane Berry .
The authorized official title is Owner and has the following contact phone number (304) 720-6735.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/4/2015.


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
1207Q00000XFamily MedicineYes

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
19287901MEDICARE ID-TYPE UNSPECIFIED

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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