EDEN FAMILY PRACTICE INC. NPI 1821049776

NPI Information

  • NPI: 1821049776
  • Provider Name: EDEN FAMILY PRACTICE INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 313 HUDGINS ST
    SUITE 200
    LOGAN, WV
    ZIP 25601
  • Phone: (304) 752-9450

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NPI Details

EDEN FAMILY PRACTICE INC. is a family medicine in Logan, 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. EDEN FAMILY PRACTICE INC. NPI is 1821049776. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

313 HUDGINS ST
SUITE 200
LOGAN, WV
ZIP 25601-535
Phone: (304) 752-9450

The provider's authorized official is Patty Radcliffe .
The authorized official title is Cfo and has the following contact phone number (614) 876-9233.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 8/22/2020.

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 Medicine1939WEST 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: 11/21/2025

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