| NPI | 1487058830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM BUGIN VP Payor Contracting 304-225-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2016-09-15 |