Appalachian Highway Medical & Surgical Clinic, Pllc in Pineville - Multi-specialty
Appalachian Highway Medical & Surgical Clinic, Pllc - NPI 1255403002
Appalachian Highway Medical & Surgical Clinic, Pllc is a Multi-specialty in Pineville, . Appalachian Highway Medical & Surgical Clinic, Pllc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Appalachian Highway Medical & Surgical Clinic, Pllc is 1255403002. The last update date is 2019-01-07.
Appalachian Highway Medical & Surgical Clinic, Pllc's current location address is Appalachian Highway Rt. 10 East Pineville, Pineville, . You can contact this provider via phone number 3047329045 and fax number 3047329055. The mailing address for Appalachian Highway Medical & Surgical Clinic, Pllc is Appalachian Highway Rt. 10 East Pineville, Pineville, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Appalachian Highway Medical & Surgical Clinic, Pllc |
|---|---|
| Address | Appalachian Highway Rt. 10 East Pineville, Pineville, |
| Phone Number | 3047329045 |
| Fax Number | 3047329055 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Lao Yti Dominador |
| Credentials | M.D. |
| Telephone Number | 3047329045 |
NPI Number Detail
| NPI Number | 1255403002 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2019-01-07 |
Provider Mailing Address Detail
| Address | Appalachian Highway Rt. 10 East Pineville |
|---|---|
| City | Pineville |
| State | (WV) |
| Post Code | 248741274 |
| Phone Number | 3047329045 |
| Fax Number | 3047329055 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 12700 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200001780 | WV | RAILROAD MEDICARE | |
| 182204 | WV | BLUE CROSS BLUE SHIELD | |
| 128304001 | WV | -- | |
| 57799 | WV | UNICARE | |
| 1220372 | WV | CHA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Appalachian Highway Medical & Surgical Clinic, Pllc by the Centers for Medicare & Medicaid Services?
The Appalachian Highway Medical & Surgical Clinic, Pllc has been issued the NPI (National Provider Identifier) 1255403002 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Appalachian Highway Medical & Surgical Clinic, Pllc is geographically located?
The Appalachian Highway Medical & Surgical Clinic, Pllc is physically situated at the following location: Appalachian Highway Rt. 10 East Pineville, Pineville, WV, 248741274.
What is the Appalachian Highway Medical & Surgical Clinic, Pllc's area of specialization and corresponding taxonomy classification?
The Appalachian Highway Medical & Surgical Clinic, Pllc's specialty field is Multi-specialty, and it falls under the taxonomy code 261Qm1300X, which categorizes healthcare providers based on their specialties.
On what date did Appalachian Highway Medical & Surgical Clinic, Pllc receive its 1255403002 assignment from the Centers for Medicare & Medicaid Services?
The Appalachian Highway Medical & Surgical Clinic, Pllc was assigned its 1255403002 on 2006-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Appalachian Highway Medical & Surgical Clinic, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Appalachian Highway Medical & Surgical Clinic, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-01-07.