| NPI | 1164421517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BUGIN VP Of Payor Contracting 304-225-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2010-10-20 |