Collaborative Geriatrics, Inc.

LBN: Collaborative Geriatrics, Inc.
Collaborative Geriatrics, Inc. is an health care organization with primary practice located at 414 Mahoganywood Dr , Milton WV 25541-1181. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Collaborative Geriatrics, Inc. can be contacted via phone (304) 743-8007, or through Taylor, Courtney Brooke via phone (304) 743-8007.

Contact Information

Primary practice address
414 Mahoganywood Dr Milton WV 25541-1181
Phone: (304) 743-8007
Fax: (304) 743-1704
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Courtney Brooke
Phone: (304) 743-8007

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 14713 West Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 21327 West Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 1601 West Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 20005 West Virginia

Profile Details

NPI number 1629004221
LBN Legal business name Collaborative Geriatrics, Inc.
DBA Doing business as
Authorized official Taylor, Courtney Brooke
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1629004221 NPPES
West Virginia MEDICAID 0040807000

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