Thrush & Clark Allergists Pllc

LBN: Thrush & Clark Allergists Pllc
Thrush & Clark Allergists Pllc is an health care organization with primary practice located at 3411A Noyes Avenue Se , Charleston WV 25304. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Thrush & Clark Allergists Pllc can be contacted via phone (304) 344-2459, or through Clark, James P via phone (304) 344-2459.

Contact Information

Primary practice address
3411A Noyes Avenue Se Charleston WV 25304
Phone: (304) 344-2459
Fax: (304) 345-1336
Website:
Map and Directions
Authorized official contact:
Name: Clark, James P Doctor of Medicine (MD)
Phone: (304) 344-2459

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11974 West Virginia

Profile Details

NPI number 1225118946
LBN Legal business name Thrush & Clark Allergists Pllc
DBA Doing business as
Authorized official Clark, James P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Oct 29th, 2018 - about 8 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 1225118946 NPPES
West Virginia MEDICAID 3810006069

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