Fayette Clinic, Pllc in Lochgelly - Nurse Practitioner

Fayette Clinic, Pllc - NPI 1851580468

Fayette Clinic, Pllc is a Nurse Practitioner in Lochgelly, . Fayette Clinic, Pllc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Fayette Clinic, Pllc is 1851580468. The last update date is 2008-06-05.

Fayette Clinic, Pllc's current location address is 1 Physicians Plaza, Lochgelly, . You can contact this provider via phone number 3044693334. The mailing address for Fayette Clinic, Pllc is 1 Physicians Plaza, Lochgelly, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Fayette Clinic, Pllc
Address 1 Physicians Plaza, Lochgelly,
Phone Number 3044693334
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Newell Darlene
Credentials RN
Telephone Number 3044693334

NPI Number Detail

NPI Number 1851580468
Provider Enumeration Date 2007-10-19
Last Updated Date 2008-06-05

Provider Mailing Address Detail

Address 1 Physicians Plaza
City Lochgelly
State (WV)
Post Code 25866
Phone Number 3044693334
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
206041003 WV --
200164 WV FEDERAL BLACK LUNG
206041000 WV --
513906 WV RURAL HEALTH PROVIDER #
1708474 WV BC/BS

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FAQs about Fayette Clinic, Pllc

What is the unique identifier code issued to Fayette Clinic, Pllc by the Centers for Medicare & Medicaid Services (CMS)?

The Fayette Clinic, Pllc has been assigned the NPI (National Provider Identifier) 1851580468. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Fayette Clinic, Pllc is physically located?

The Fayette Clinic, Pllc is physically situated at the following address: 1 Physicians Plaza, Lochgelly, WV, 25866.

What is Fayette Clinic, Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Fayette Clinic, Pllc is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1851580468 to Fayette Clinic, Pllc?

The Fayette Clinic, Pllc received its 1851580468 assignment from the Centers for Medicare & Medicaid Services on 2007-10-19.

As of what date were the details related to Fayette Clinic, Pllc most recently updated or revised?

The information pertaining to Fayette Clinic, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-05.

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