| NPI | 1912160920 |
|---|---|
| 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 | 2008-07-09 |
| Last Update Date | 2012-02-13 |