Charleston Cardiology Group Pllc
LBN: Charleston Cardiology Group Pllc
Charleston Cardiology Group Pllc is an health care organization with primary practice located at 3100 Maccorkle Ave Suite 709, Charleston WV 25304-1223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Charleston Cardiology Group Pllc can be contacted via phone (304) 342-1184, or through Lilly, Donald R via phone (304) 342-1184.
Contact Information
Primary practice address
3100 Maccorkle Ave Suite 709
Charleston WV 25304-1223
Phone: (304) 342-1184
Fax: (304) 343-8487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X |
Profile Details
| NPI number | 1770558165 |
|---|---|
| LBN Legal business name | Charleston Cardiology Group Pllc |
| DBA Doing business as | |
| Authorized official | Lilly, Donald R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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 | 1770558165 | NPPES |
| West Virginia | MEDICAID | 3810004453 |
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