| NPI | 1235138280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BUGIN VP Of Payor Contracting 304-225-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2012-02-14 |