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SALEM FAMILY MEDICINE INC NPI 1215975438


NPI Information

NPI: 1215975438
Provider Name: SALEM FAMILY MEDICINE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 51D0725830

Address:
RR 1 BOX 75-1
OLD ROUTE 50 WEST
SALEM, WV
ZIP 26426
Phone: (304) 782-2000
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SALEM FAMILY MEDICINE INC is a family medicine in Salem, 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. SALEM FAMILY MEDICINE INC NPI is 1215975438. The provider is registered as an organization entity type.

The provider's business location address is:

RR 1 BOX 75-1
OLD ROUTE 50 WEST
SALEM, WV
ZIP 26426-604
Phone: (304) 782-2000

The provider's authorized official is Lydia Jean Solomon .
The authorized official title is Office Manager and has the following contact phone number (304) 782-2000.

The CLIA number assigned to this NPI record is 51D0725830 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 3/5/2010.


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
1291U00000XClinical Medical Laboratory51D0725830WEST VIRGINIANo
2207Q00000XFamily Medicine15251WEST 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
19311801MEDICARE 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: 5/5/2024

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