Wv Family Medicine,Inc

LBN: Wv Family Medicine,Inc
Wv Family Medicine,Inc is an health care organization with primary practice located at 1115 2Nd Ave , West Logan WV 25601-3309. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Wv Family Medicine,Inc can be contacted via phone (304) 831-0085, or through Kanuri, Karunasree via phone (304) 831-0085.

Contact Information

Primary practice address
1115 2Nd Ave West Logan WV 25601-3309
Phone: (304) 831-0085
Fax: (304) 831-0088
Website:
Map and Directions
Authorized official contact:
Name: Kanuri, Karunasree Doctor of Medicine (MD)
Phone: (304) 831-0085

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X 22060 West Virginia

Profile Details

NPI number 1528284247
LBN Legal business name Wv Family Medicine,Inc
DBA Doing business as
Authorized official Kanuri, Karunasree Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528284247 NPPES
West Virginia MEDICAID 3810003597

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