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RHEUMATOLOGY AND PULMONARY CLINIC PLLC NPI 1467439463


NPI Information

NPI: 1467439463
Provider Name: RHEUMATOLOGY AND PULMONARY CLINIC PLLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 51D2057222

Address:
421 CARRIAGE DR
BECKLEY, WV
ZIP 25801
Phone: (304) 256-0242
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RHEUMATOLOGY AND PULMONARY CLINIC PLLC is a specialist in Beckley, 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. RHEUMATOLOGY AND PULMONARY CLINIC PLLC NPI is 1467439463. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 CARRIAGE DR
BECKLEY, WV
ZIP 25801-805
Phone: (304) 256-0242
Fax: (304) 256-0244

The provider's authorized official is Becky S Fondale .
The authorized official title is Office Manager and has the following contact phone number (304) 256-0242.

The CLIA number assigned to this NPI record is 51D2057222 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2005 and was last updated on 5/13/2011.


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
1174400000XSpecialist18402WEST VIRGINIANo
2174400000XSpecialist17491WEST 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11805604000MEDICAIDWEST VIRGINIA
20795732MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
31801602000MEDICAIDWEST VIRGINIA
4F09090MEDICARE UPINWEST VIRGINIA
50755593MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
6001711048OTHERWEST VIRGINIABLUE CROSS
7E33514MEDICARE UPINWEST 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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