| NPI | 1194753145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT T GREENE Director Of Operations 304-455-8195 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 95) |
| 207L00000X Anesthesiology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine | |
| 207ZC0500X Pathology, Cytopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZI0100X Pathology, Immunopathology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-04-08 |