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PRIME HEALTH ASSOCIATES NPI 1073503637


NPI Information

NPI: 1073503637
Provider Name: PRIME HEALTH ASSOCIATES

Doing Business As: BEAVER FAMILY CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 51D0235381

Address:
703 RITTER DRIVE
BEAVER, WV
ZIP 25813
Phone: (304) 255-1300
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PRIME HEALTH ASSOCIATES is a specialist in Beaver, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PRIME HEALTH ASSOCIATES NPI is 1073503637. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Beaver Family Clinic.

The provider's business location address is:

703 RITTER DRIVE
BEAVER, WV
ZIP 25813
Phone: (304) 255-1300
Fax: (304) 255-5391

The provider's authorized official is Bella N Zinzuwadia .
The authorized official title is President and has the following contact phone number (304) 255-1300.

The CLIA number assigned to this NPI record is 51D0235381 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 1/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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
19336421MEDICARE PINWEST VIRGINIA
2DA4369OTHERWEST VIRGINIARR MEDICARE GROUP NUMBER
30207791000MEDICAIDWEST 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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