Organization Name: | THREE RIVERS MEDICAL CLINICS INC |
NPI Number: | 1669882916 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES P WRIGHT (SR. DIRECTOR) |
Mailing Address: | 47460 Route 52 Kermit |
State: | WV US |
Postal Code: | 256748052 |
Phone Number: | 3043936901 |
Fax Number: | 3043936902 |
NPI Enumeration Date: | 05/07/2014 |
NPI Last Update Date: | 05/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |