PRIME-CARE 12 INC NPI 1396843199

NPI Information

  • NPI: 1396843199
  • Provider Name: PRIME-CARE 12, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 51D2265663
  • Address: 702 STAFFORD DR
    PRINCETON, WV
    ZIP 24740
  • Phone: (304) 425-0085

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NPI Details

PRIME-CARE 12, INC is a family medicine in Princeton, 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. PRIME-CARE 12, INC NPI is 1396843199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

702 STAFFORD DR
PRINCETON, WV
ZIP 24740-406
Phone: (304) 425-0085
Fax: (304) 425-6283

The provider's authorized official is Florencio Pascual Neri .
The authorized official title is President and has the following contact phone number (304) 425-0085.

The CLIA number assigned to this NPI record is 51D2265663 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 2/3/2010.

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
1207Q00000XFamily Medicine11431WEST VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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