| NPI | 1356219737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP Of Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |