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SOUTH HARRISON FAMILY MEDICINE NPI 1922197573


NPI Information

NPI: 1922197573
Provider Name: SOUTH HARRISON FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2324 HAWK HIGHWAY
LOST CREEK, WV
ZIP 26385
Phone: (304) 745-3200
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SOUTH HARRISON FAMILY MEDICINE is a family medicine in Lost Creek, 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. SOUTH HARRISON FAMILY MEDICINE NPI is 1922197573. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2324 HAWK HIGHWAY
LOST CREEK, WV
ZIP 26385-707
Phone: (304) 745-3200
Fax: (304) 745-4068

The provider's authorized official is Jo Ann Longenecker .
The authorized official title is President and has the following contact phone number (304) 745-3200.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 12/5/2011.


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 Medicine15551WEST VIRGINIAYes

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
1E58888MEDICARE UPIN
29261861MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
30007163000MEDICAIDWEST 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: 5/5/2024

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