TRI-STATE ALLERGY INC NPI 1902906019

NPI Information

  • NPI: 1902906019
  • Provider Name: TRI-STATE ALLERGY, INC
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • Address: 1001 20TH STREET
    HUNTINGTON, WV
    ZIP 25703
  • Phone: (304) 529-6100

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NPI Details

TRI-STATE ALLERGY, INC is an allergy allergy immunology in Huntington, WV. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee TRI-STATE ALLERGY, INC NPI is 1902906019. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 20TH STREET
HUNTINGTON, WV
ZIP 25703
Phone: (304) 529-6100
Fax: (304) 529-0229

The provider's authorized official is Matthew C Wilson .
The authorized official title is President Owner and has the following contact phone number (304) 529-6100.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 9/5/2014.

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
1207KA0200XAllergy & ImmunologyAllergyYes

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
1L0968403MEDICAIDOHIO
2LY0725852MEDICARE PINWEST VIRGINIA
3L0489556MEDICAIDOHIO
4030004351MEDICARE PINWEST VIRGINIA
5CF8298MEDICARE PINWEST VIRGINIA
6L0874442MEDICAIDOHIO
7030004350MEDICARE PINWEST VIRGINIA
85184MEDICARE PINKENTUCKY
9A15124MEDICARE UPINWEST VIRGINIA
1064694763MEDICAIDKENTUCKY
110518401MEDICARE PINKENTUCKY
120070510000MEDICAIDWEST VIRGINIA
13659300083MEDICAIDKENTUCKY
140011693000MEDICAIDWEST VIRGINIA
150044083000MEDICAIDWEST VIRGINIA
1664698772MEDICAIDKENTUCKY
17WI0513141MEDICARE PINWEST VIRGINIA
18F39127MEDICARE UPINWEST VIRGINIA
190518402MEDICARE PINKENTUCKY
20TR9263351MEDICARE PINWEST VIRGINIA

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: 3/30/2025

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