Beckley Pediatric Associates Ltd

LBN: Beckley Pediatric Associates Ltd
Beckley Pediatric Associates Ltd is an health care organization with primary practice located at 30 Mallard Ct , Beckley WV 25801-3664. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Beckley Pediatric Associates Ltd can be contacted via phone (304) 255-0800, or through Johnson Iii, John H via phone (304) 255-0800.

Contact Information

Primary practice address
30 Mallard Ct Beckley WV 25801-3664
Fax: (304) 255-1040
Website:
Authorized official contact:
Name: Johnson Iii, John H Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1487699542
LBN Legal business name Beckley Pediatric Associates Ltd
DBA Doing business as
Authorized official Johnson Iii, John H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 12th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487699542 NPPES
West Virginia MEDICAID 3810004859

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