Summersville Multi- Clinic

LBN: Summersville Multi- Clinic
Summersville Multi- Clinic is an health care organization with primary practice located at 415 Main St , Summersville WV 26651-1343. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Summersville Multi- Clinic can be contacted via phone (304) 872-5500, or through Khorshad, Miraflor G via phone (304) 872-5500.

Contact Information

Primary practice address
415 Main St Summersville WV 26651-1343
Phone: (304) 872-5500
Fax: (304) 872-5592
Website:
Map and Directions
Authorized official contact:
Name: Khorshad, Miraflor G Doctor of Medicine (MD)
Phone: (304) 872-5500

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 13212 West Virginia

Profile Details

NPI number 1831375260
LBN Legal business name Summersville Multi- Clinic
DBA Doing business as
Authorized official Khorshad, Miraflor G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2008
Last updated Jan 16th, 2008 - about 18 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 1831375260 NPPES
West Virginia MEDICAID 0006987000
West Virginia Other 51DO236900

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