FAMILY HEALTHCARE ASSOCIATES INC NPI 1902835010

NPI Information

NPI: 1902835010
Provider Name: FAMILY HEALTHCARE ASSOCIATES INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 51D0979141

Address:
114 MAIN STREET
MAN, WV
ZIP 25635
Phone: (304) 583-0019
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FAMILY HEALTHCARE ASSOCIATES INC is a rural health clinic center in Man, WV. FAMILY HEALTHCARE ASSOCIATES INC NPI is 1902835010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

114 MAIN STREET
MAN, WV
ZIP 25635-114
Phone: (304) 583-0019
Fax: (304) 583-0016

The provider's authorized official is Samuel A Muscari .
The authorized official title is President and has the following contact phone number (304) 294-4880.

The CLIA number assigned to this NPI record is 51D0979141 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 7/12/2010.

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	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health	0015	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	5301010000	MEDICAID	WEST VIRGINIA
2	513900	MEDICARE OSCAR/CERTIFICATION	WEST VIRGINIA
3	FA9306624	OTHER		STATE MEDICARE

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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