Organization Name: | BECKLEY AREA MEDICAL CLINIC, INC |
NPI Number: | 1982764908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHIL PARVIN (CREDENTIAL SPECIALIST) |
Mailing Address: | 1828 Harper Rd Beckley |
State: | WV US |
Postal Code: | 258013366 |
Phone Number: | 3042535690 |
Fax Number: | 3042554608 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 10539 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |