NPI | 1992899678 |
---|---|
Doing Business As | TRI-STATE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | GREGORY DONALD CHANEY President 304-529-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 16608) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2014-12-22 |