Barboursville Internal Medicine & Pediatrics
LBN: Barboursville Internal Medicine & Pediatrics
Barboursville Internal Medicine & Pediatrics is an health care organization with primary practice located at 4 Chateau Ln , Barboursville WV 25504-1626. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Barboursville Internal Medicine & Pediatrics can be contacted via phone (304) 736-4000, or through Harris, Matthew Wayne via phone (304) 736-4000.
Contact Information
Primary practice address
4 Chateau Ln
Barboursville WV 25504-1626
Phone: (304) 736-4000
Fax: (304) 736-5690
Website:
Authorized official contact:
Name: Harris, Matthew Wayne Doctor of Medicine (MD)
Phone: (304) 736-4000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1184617003 |
|---|---|
| LBN Legal business name | Barboursville Internal Medicine & Pediatrics |
| DBA Doing business as | |
| Authorized official | Harris, Matthew Wayne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Oct 29th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184617003 | NPPES |
| Ohio | MEDICAID | 2204877 | |
| Ohio | MEDICAID | 0201059000 |
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