| Organization Name: | REGIONAL FAMILY MEDICINE, INC |
| NPI Number: | 1942458039 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | COLIN A ROSE (PRESIDENT) |
| Mailing Address: | 406nicholas Street Rupert |
| State: | WV US |
| Postal Code: | 25984 |
| Phone Number: | 3046454043 |
| Fax Number: | 3046454713 |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 06/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17710 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |