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PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION NPI 1619244472


NPI Information

NPI: 1619244472
Provider Name: PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION

Doing Business As: TOYOTA FAMILY HEATLH CENTER WV OCC

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 51D2034168

Address:
1 SUGAR MAPLE LANE
BUFFALO, WV
ZIP 25033
Phone: (304) 937-7426
Get Directions

PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION is an occupational medicine clinic center in Buffalo, WV. PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION NPI is 1619244472. The provider is registered as an organization entity type.
The provider Is Doing Business As Toyota Family Heatlh Center Wv Occ.

The provider's business location address is:

1 SUGAR MAPLE LANE
BUFFALO, WV
ZIP 25033-001
Phone: (304) 937-7426
Fax: (304) 937-7427

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 51D2034168 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2011 and was last updated on 8/15/2022.


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
1261QX0100XClinic/CenterOccupational MedicineYes

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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