LITTLE BEAVER FAMILY CLINIC NPI 1558447805

NPI Information

NPI: 1558447805
Provider Name: LITTLE BEAVER FAMILY CLINIC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
16130 WEBSTER RD.
CRAIGSVILLE, WV
ZIP 26205
Phone: (304) 742-3570
Get Directions

LITTLE BEAVER FAMILY CLINIC is a family nurse practitioner in Craigsville, WV. LITTLE BEAVER FAMILY CLINIC NPI is 1558447805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16130 WEBSTER RD.
CRAIGSVILLE, WV
ZIP 26205-728
Phone: (304) 742-3570
Fax: (304) 742-3572

The provider's authorized official is Cheryl L White .
The authorized official title is Owner/president and has the following contact phone number (304) 742-3570.

The enumeration date for this NPI number is 10/30/2006 and was last updated on 10/10/2012.

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
1	363LF0000X	Nurse Practitioner	Family	52802	WEST VIRGINIA	Yes

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
1	001784453	OTHER	WEST VIRGINIA	MTN STATE BCBS
2	LI9359261	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA
3	3810001807	MEDICAID	WEST VIRGINIA
4	DE7201	OTHER	WEST VIRGINIA	RR MCARE
5	Q31458	MEDICARE UPIN

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

NPI Synchronization or Removal

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