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PRINCETON COMMUNITY HOSPITAL ASSN INC. NPI 1093917643


NPI Information

NPI: 1093917643
Provider Name: PRINCETON COMMUNITY HOSPITAL ASSN INC.

Doing Business As: MERCER MEDICAL GROUP

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 51D2298211

Address:
118 12TH STREET
PRINCETON, WV
ZIP 24740
Phone: (304) 487-7936
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PRINCETON COMMUNITY HOSPITAL ASSN INC. is an urology in Princeton, 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. PRINCETON COMMUNITY HOSPITAL ASSN INC. NPI is 1093917643. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercer Medical Group.

The provider's business location address is:

118 12TH STREET
PRINCETON, WV
ZIP 24740
Phone: (304) 487-7936
Fax: (304) 487-7835

The provider's authorized official is Diane Lynn Spencer .
The authorized official title is Vp Of Finance/cfo and has the following contact phone number (304) 487-7505.

The CLIA number assigned to this NPI record is 51D2298211 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 2/24/2023.


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
1208800000XUrology10308WEST VIRGINIAYes

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: 5/5/2024

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