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COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION NPI 1497161624


NPI Information

NPI: 1497161624
Provider Name: COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION

Doing Business As: COUNTRY DOCTORS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 51D2095052

Address:
658 BURKE RD
MASONTOWN, WV
ZIP 26542
Phone: (304) 864-4362
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COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION is a family medicine in Masontown, 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. COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION NPI is 1497161624. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Country Doctors.

The provider's business location address is:

658 BURKE RD
MASONTOWN, WV
ZIP 26542-000
Phone: (304) 864-4362
Fax: (304) 864-4366

The provider's authorized official is Vicky Lynn Mays .
The authorized official title is Ao and has the following contact phone number (304) 864-4362.

The CLIA number assigned to this NPI record is 51D2095052 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/9/2014 and was last updated on 7/10/2022.


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 Medicine2571WEST 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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