Medical Associates Of Glen Daniel in Glen Daniel - Rural Health
Medical Associates Of Glen Daniel - NPI 1801815733
Medical Associates Of Glen Daniel is a Rural Health in Glen Daniel, . Medical Associates Of Glen Daniel practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Medical Associates Of Glen Daniel is 1801815733. The last update date is 2007-08-29.
Medical Associates Of Glen Daniel's current location address is 109 Bolt Road, Glen Daniel, . You can contact this provider via phone number 3049345125. The mailing address for Medical Associates Of Glen Daniel is 109 Bolt Road, Glen Daniel, . To know further, please read the information below!
Provider Profile Detail
Provider Organization | Medical Associates Of Glen Daniel |
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Address | 109 Bolt Road, Glen Daniel, |
Phone Number | 3049345125 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Gordinho Jorge Jose |
Credentials | MD |
Telephone Number | 3042549022 |
NPI Number Detail
NPI Number | 1801815733 |
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Provider Enumeration Date | 2006-07-19 |
Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
Address | 109 Bolt Road |
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City | Glen Daniel |
State | (WV) |
Post Code | 25844 |
Phone Number | 3049345125 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Rural Health |
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Taxonomy | 261Qr1300X |
Licence No | PENDING |
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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72202000 | WV | -- |
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What is the unique 10-digit identification code assigned to Medical Associates Of Glen Daniel by the Centers for Medicare & Medicaid Services?
The Medical Associates Of Glen Daniel has been issued the NPI (National Provider Identifier) 1801815733, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Medical Associates Of Glen Daniel's facilities are geographically located?
The facilities of Medical Associates Of Glen Daniel are physically situated at the following location: 109 Bolt Road, Glen Daniel, WV, 25844.
What is Medical Associates Of Glen Daniel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Medical Associates Of Glen Daniel's specialized field of practice is Rural Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr1300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801815733 to Medical Associates Of Glen Daniel?
The Medical Associates Of Glen Daniel received its 1801815733 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information related to Medical Associates Of Glen Daniel most recently updated or refreshed?
The details pertaining to the Medical Associates Of Glen Daniel, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-29.