WILLOW CREEK HEALTH CLINIC INC NPI 1730635863

NPI Information

NPI: 1730635863
Provider Name: WILLOW CREEK HEALTH CLINIC INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 51D2115830

Address:
15237 COAL HERITAGE ROAD/US-52 NORTH
HONEYCAMP /247
RODERFIELD, WV
ZIP 24881
Phone: (304) 436-8323
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WILLOW CREEK HEALTH CLINIC INC is a primary care clinic center in Roderfield, WV. WILLOW CREEK HEALTH CLINIC INC NPI is 1730635863. The provider is registered as an organization entity type.

The provider's business location address is:

15237 COAL HERITAGE ROAD/US-52 NORTH
HONEYCAMP /247
RODERFIELD, WV
ZIP 24881
Phone: (304) 436-8323

The provider's authorized official is Karen Patricia Addair .
The authorized official title is President and has the following contact phone number (304) 436-8323.

The CLIA number assigned to this NPI record is 51D2115830 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 8/29/2016.

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	261QP2300X	Clinic/Center	Primary Care	42727	WEST VIRGINIA	Yes

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

NPI Synchronization or Removal

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