South Harrison Family Medicine in Lost Creek - Family Medicine
South Harrison Family Medicine - NPI 1922197573
South Harrison Family Medicine is a Family Medicine in Lost Creek, . South Harrison Family Medicine practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for South Harrison Family Medicine is 1922197573. The last update date is 2011-12-05.
South Harrison Family Medicine's current location address is 2324 Hawk Highway, Lost Creek, . You can contact this provider via phone number 3047453200 and fax number 3047454068. The mailing address for South Harrison Family Medicine is 2324 Hawk Highway, Lost Creek, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Harrison Family Medicine |
|---|---|
| Address | 2324 Hawk Highway, Lost Creek, |
| Phone Number | 3047453200 |
| Fax Number | 3047454068 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Longenecker Ann Jo |
| Credentials | MD |
| Telephone Number | 3047453200 |
NPI Number Detail
| NPI Number | 1922197573 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2011-12-05 |
Provider Mailing Address Detail
| Address | 2324 Hawk Highway |
|---|---|
| City | Lost Creek |
| State | (WV) |
| Post Code | 263859707 |
| Phone Number | 3047453200 |
| Fax Number | 3047454068 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 15551 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7163000 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to South Harrison Family Medicine by the Centers for Medicare & Medicaid Services?
The South Harrison Family Medicine has been assigned the NPI (National Provider Identifier) 1922197573. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where South Harrison Family Medicine is located?
The South Harrison Family Medicine is situated at the following address: 2324 Hawk Highway, Lost Creek, WV, 263859707.
What is South Harrison Family Medicine's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Harrison Family Medicine is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date was the 1922197573 assigned to South Harrison Family Medicine?
The South Harrison Family Medicine was issued its 1922197573 on 2006-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding South Harrison Family Medicine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to South Harrison Family Medicine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-05.