NPI 1275558017 · live from the CMS NPI Registry
Central Wv Medcorp, INC.
Internal Medicine, Geriatric Medicine in Buckhannon, WV. National Provider Identifier 1275558017, active.
NPI record
| NPI | 1275558017 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Geriatric Medicine 207RG0300X |
| Practice location | 11 N Locust St, Buckhannon, WV 26201 |
| Practice phone | 304-472-1600 |
| Mailing address | Po Box 2630, Elkins, WV 26241 |
| Enumerated | July 13, 2006 |
| Last updated | October 31, 2011 |
| Authorized official | Rebecca Hammer, Cfo |
| Other names | Buckhannon Medical Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — (WV) |
| Internal Medicine | 207R00000X | — (WV) |
| Surgery | 208600000X | — (WV) |
| 2086S0129X | — (WV) | |
| Otolaryngology | 207Y00000X | — (WV) |
| Emergency Medicine | 207P00000X | — (WV) |
| Counselor, Professional | 101YP2500X | — |
| Pediatrics | 208000000X | — |
| Internal Medicine, Geriatric Medicine primary | 207RG0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.